Individual
SIYAKORN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11100 EUCLID AVE, MAILSTOP:HAN 6095, CLEVELAND, OH 44106-1716
(216) 844-6338
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8027
(216) 201-8173
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15362-NP
OH
Other
Enumeration date
01/13/2014
Last updated
01/15/2021
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