Individual
SONYA BARNES BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N STYGLER RD, GAHANNA, OH 43230-2457
(614) 327-3958
Mailing address
200 N STYGLER RD, GAHANNA, OH 43230-2457
(614) 327-3958
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
322453011106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322453011106
OHIO DEPARTMENT OF HEALTH/STNA
OH
Enumeration date
09/07/2010
Last updated
09/07/2010
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