Individual
TEAL BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 VIA LUCAS, SAN LORENZO, CA 94580-2137
(410) 422-3063
Mailing address
1627 VIA LUCAS, SAN LORENZO, CA 94580-2137
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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