Individual
MS. TIFFANY BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
105 E 3RD AVE, SAN MATEO, CA 94401-4012
(650) 347-9666
Mailing address
24483 PLUMMER CT, HAYWARD, CA 94545-1948
(510) 782-3378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0635
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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