Individual
JENNIFER BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 BROOMSGROVE DR, FAYETTEVILLE, NC 28306-8998
(910) 797-5722
Mailing address
3335 BROOMSGROVE DR, FAYETTEVILLE, NC 28306-8998
(910) 797-5722
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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