Individual
MRS. WAKITA CASSANDRA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. M.S.N
Contact information
Practice address
1958 BARBERRIE LN, DECATUR, GA 30032-3916
(404) 663-9335
Mailing address
1958 BARBERRIE LN, DECATUR, GA 30032-3916
(404) 663-9335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN105982
GA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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