Individual
CHRISTOPHER CARL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
(818) 996-1051
Mailing address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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