Individual
MR. ROGER BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25965 FRANCES LN, NEW BOSTON, MI 48164-9176
(313) 670-9633
Mailing address
25965 FRANCES LN, NEW BOSTON, MI 48164-9176
(313) 670-9633
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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