Individual
DREW PORTER BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25747 BUTTERNUT RIDGE RD, NORTH OLMSTED, OH 44070-4507
(440) 759-5228
Mailing address
25747 BUTTERNUT RIDGE RD, NORTH OLMSTED, OH 44070-4507
(440) 759-5228
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2402635
—
OH
Enumeration date
06/05/2008
Last updated
06/05/2008
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