Individual
BRADY M JENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1638 NORTHSTAR CT, GARDNERVILLE, NV 89410-7624
(970) 270-3050
Mailing address
1638 NORTHSTAR CT, GARDNERVILLE, NV 89410-7624
(970) 270-3050
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
PHA0016219
CO
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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