Individual
MRS. LATRINA LYNN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1103 N B ST, SACRAMENTO, CA 95811-0326
(916) 378-8266
Mailing address
1103 N B ST, SACRAMENTO, CA 95811-0326
(916) 378-8266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
303571-031
WI
164W00000X
Licensed Practical Nurse
Primary
717222
CA
Other
Enumeration date
01/06/2010
Last updated
03/11/2024
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