Individual
MRS. CHARLENE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3404 CHARLENE AVE SW, CANTON, OH 44706-4709
(330) 484-4639
(800) 715-4730
Mailing address
3404 CHARLENE AVE SW, CANTON, OH 44706-4709
(330) 484-4639
(800) 715-4730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN046305
OH
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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