Individual
DORA LEE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
622 WYNORA AVE, DAYTON, OH 45404-2465
(937) 204-8173
Mailing address
622 WYNORA AVE, DAYTON, OH 45404-2465
(937) 204-8173
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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