Individual
JOAN E. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7974
(858) 605-7349
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 605-7974
(858) 605-7349
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
T11655
CA
Other
Enumeration date
07/18/2006
Last updated
09/25/2019
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