Individual
BRADLEE R REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 S WILLIS ST, VISALIA, CA 93291-6105
(559) 624-2000
Mailing address
2835 E SEEGER CT, VISALIA, CA 93292-1373
(618) 531-3869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76574
CA
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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