Individual
JOSHUA DAVID BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3971
(505) 298-1558
Mailing address
3912 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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