Individual
MS. JOAN SHIRLEY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1201 AIRPORT RD, HOOPA, CA 95546
(530) 625-4261
(530) 625-5261
Mailing address
105 COD ST, EUREKA, CA 95503-6813
(530) 625-4261
(530) 625-5261
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3207
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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