Individual
MR. VERNON CHRISTIAN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4401 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3978
(505) 620-6332
Mailing address
4401 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3978
(505) 620-6332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9362
NM
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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