Individual
TANIECE LA'SHAY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 INVERRARY BLVD, LAUDERHILL, FL 33319-4382
(954) 818-5756
Mailing address
6805 W COMMERCIAL BLVD # 1084, LAUDERHILL, FL 33319-2116
(954) 818-5756
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
01/03/2024
Last updated
01/10/2024
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