Individual
EVELYN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 NW 17TH ST, FORT LAUDERDALE, FL 33311-4508
(754) 204-1340
(754) 551-5445
Mailing address
2470 NW 17TH ST, FORT LAUDERDALE, FL 33311-4508
(754) 204-1340
(754) 551-5445
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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