Individual
BRADLEY ZEPHANIAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3251
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60855006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN60855006
RN
WA
Enumeration date
09/15/2022
Last updated
09/15/2022
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