Individual
MR. DANIEL RAMON BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5999 BURKE COMMONS RD, BURKE, VA 22015-2880
(703) 249-7200
Mailing address
PO BOX 2788, WOODBRIDGE, VA 22195-2788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001277264
VA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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