Individual
JERRY BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(717) 761-2633
Mailing address
19612 SE 25TH ST, CAMAS, WA 98607-8822
(360) 513-2470
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60297622
WA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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