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Individual

JOHN RICHARD BRADY IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
3047 LLOYD ST, SAN DIEGO, CA 92117-6033
(619) 723-2492
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN231435
CA

Other

Enumeration date
05/08/2013
Last updated
05/20/2013
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