Individual
MS. BONITA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7900
(352) 955-2126
Mailing address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7900
(352) 955-2126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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