Individual
CHRISTINA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4307 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 543-0840
Mailing address
4307 3RD AVE, SAN DIEGO, CA 92103-1407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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