Individual
LATASHA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(240) 542-8509
Mailing address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R232180
MD
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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