Individual
VIRDIA CHRISTINA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLPN
Contact information
Practice address
8100 N DAVIS HWY, PENSACOLA, FL 32514-6093
(850) 477-2466
Mailing address
4336 BURTONWOOD DR, PENSACOLA, FL 32514-8016
(662) 435-1324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319147
MS
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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