Individual
JUDY BRADELYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 8TH ST STE 100, WICHITA FALLS, TX 76301-6815
(903) 532-1400
Mailing address
908 8TH ST STE 100, WICHITA FALLS, TX 76301-6815
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
228065
TX
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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