Individual
MRS. JENNIFER LEE BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
254 WADE ST NE, ROME, GA 30161-7047
(706) 766-7851
Mailing address
254 WADE ST NE, ROME, GA 30161-7047
(706) 766-7851
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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