Organization
BRADEN PARTNERS LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
4120 BANGS AVE STE C, MODESTO, CA 95356-8709
(209) 543-8612
(209) 543-8850
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02039F
—
CA
Enumeration date
07/27/2006
Last updated
10/13/2025
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