Individual
LAURA IVONNE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
1248 BOTHWELL AVE, COLTON, CA 92324-2506
(909) 953-5931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95256200
CA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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