Individual
MR. DARYL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
146 TULANE DR, RAEFORD, NC 28376
(910) 394-6040
Mailing address
146 TULANE DR, RAEFORD, NC 28376-8006
(910) 224-3304
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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