Individual
AMALEAH FAYE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251576
CA
Other
Enumeration date
10/25/2010
Last updated
10/12/2022
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