Individual
JEAN MARIE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(877) 809-5092
Mailing address
6901 E CHAUNCEY LN APT 2074, PHOENIX, AZ 85054-5122
(612) 209-5114
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008232
AZ
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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