Individual
CAROLYN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
16810 MARK CIR, ALVIN, TX 77511-9218
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
134458
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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