Individual
ROKENDRA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 S TELLURIDE ST, AURORA, CO 80013-4404
(970) 658-0092
Mailing address
3090 S TELLURIDE ST, AURORA, CO 80013-4404
(970) 658-0092
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
CO
Enumeration date
12/16/2019
Last updated
12/26/2019
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