Individual
MR. BRADFORD ROSS GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCJ
Contact information
Practice address
8421 MOONDANCE CELLARS CT, LAS VEGAS, NV 89139-7162
(702) 630-7652
Mailing address
8421 MOONDANCE CELLARS CT, LAS VEGAS, NV 89139-7162
(702) 630-7652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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