Individual
MISS JENNA MARIE BRADESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 865-6521
Mailing address
4279 BRENDAN LN, NORTH OLMSTED, OH 44070-2923
(440) 865-6521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003931
OH
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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