Individual
EBONI GWENDOLYN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24100 SOUTHFIELD RD STE 335E, SOUTHFIELD, MI 48075-2819
(248) 262-7372
Mailing address
24100 SOUTHFIELD RD STE 335E, SOUTHFIELD, MI 48075-2819
(248) 262-7372
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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