Individual
BRADLY S LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 565-4940
Mailing address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 565-4940
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
07/15/2014
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