Individual
ELAINE LEATRICE BRADFORDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2884 NOBLE RD, CLEVELAND HTS, OH 44121-2231
(216) 770-4290
Mailing address
2884 NOBLE RD, CLEVELAND HTS, OH 44121-2231
(216) 770-4290
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RM783349
OH
Other
Enumeration date
06/07/2024
Last updated
06/26/2024
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