Individual
BRADY LEON STEWART-CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2847
Mailing address
3405 W 16TH ST UNIT 16, GREELEY, CO 80634-6842
(949) 220-6463
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
05/28/2024
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