Individual
TAWNYA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 RIVER HILL DR, ASHLAND, KY 41101-7397
(606) 326-9321
Mailing address
351 RIVER HILL DR, ASHLAND, KY 41101-7397
(606) 326-9321
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110745
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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