Individual
ALYSIA BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FWY, SUITE 602, DALLAS, TX 75243-4545
(469) 249-1882
(877) 788-7505
Mailing address
9441 LBJ FWY, SUITE 602, DALLAS, TX 75243-4545
(469) 249-1882
(877) 788-7505
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR60273231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LR60273231
RESPIRATORY CARE PRACTITIONER LICENSE
WA
Enumeration date
11/06/2014
Last updated
11/06/2014
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