Individual
MR. SEAN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 M ST, CORRECTIONAL HEALTH - JPS, FRESNO, CA 93721-1805
(559) 600-9352
Mailing address
PO BOX 11867, CORRECTIONAL HEALTH - JPS, FRESNO, CA 93775-1867
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28608
CA
Other
Enumeration date
02/29/2012
Last updated
02/28/2013
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