Individual
MS. DEANNA ELAINE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1025 ROSLYN AVE SW, CANTON, OH 44710-1907
(330) 313-7188
Mailing address
1025 ROSLYN AVE SW, CANTON, OH 44710-1907
(330) 313-7188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 120360
OH
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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