Individual
DR. JENNA MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
510 N 2ND ST STE 201, BOISE, ID 83702-6078
(208) 385-3440
(208) 385-3441
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 385-3440
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-6276
ID
231H00000X
Audiologist
AY2735
FL
Other
Enumeration date
06/22/2023
Last updated
03/07/2024
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