Organization
BRADLEY/CABRERA ENTERPRISES
Active
Other names
iberville optics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MICHAEL BRADLEY (OWNER/MANAGER)
(225) 385-4464
Entity
Organization
Contact information
Practice address
25420 HIGHWAY 1, SUITE E, PLAQUEMINE, LA 70764-7513
(225) 385-4464
(225) 385-4465
Mailing address
25420 HIGHWAY 1, SUITE E, PLAQUEMINE, LA 70764-7513
(225) 385-4464
(225) 385-4465
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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