Individual
REGINA BREANNA BRADBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 N CENTRAL AVE, LANDIS, NC 28088-1117
(704) 918-5671
Mailing address
349 COOPERFIELD BLVD STE L, # 389, CONCORD, NC 28025
(704) 918-5671
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
90141
NC
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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