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Individual

WENDY BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19386 NORTHRIDGE DR, GULFPORT, MS 39503-7600
(228) 324-4593
Mailing address
19386 NORTHRIDGE DR, GULFPORT, MS 39503-7600
(228) 324-4593

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MS

Other

Enumeration date
04/24/2014
Last updated
04/24/2014
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