Individual
DIANE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 DEIS DR # 167, FAIRFIELD, OH 45014-8136
(513) 259-7894
Mailing address
1834 FALLBROOK LN, CINCINNATI, OH 45240-1014
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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