Individual
AMANDA JO BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
KAYENTA HEALTH CENTER, US HWY 160 M.P. 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 4506, KAYENTA, AZ 86033-4506
(602) 825-0788
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
227109
AZ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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