Individual
ASHLEY ELAINE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STOCKLAND RD, IRMO, SC 29063
(803) 667-2424
Mailing address
120 STOCKLAND RD, IRMO, SC 29063-9107
(803) 667-2424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
SC
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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