Individual
GLADYS L. BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1670 DAVID RAINES RD APT 118, SHREVEPORT, LA 71107-5857
(318) 268-2008
Mailing address
1670 DAVID RAINES RD APT 118, SHREVEPORT, LA 71107-5857
(318) 268-2008
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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