Individual
EARNIECIA MAE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 CHESTERFIELD BUSINESS PKWY STE 200, CHESTERFIELD, MO 63005-1271
(314) 485-9575
Mailing address
2927 WILLOW CREEK ESTATES DR, FLORISSANT, MO 63031-1665
(314) 283-2415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2022015958
MO
251E00000X
Home Health Agency
Primary
2022015958
MO
Other
Enumeration date
05/17/2022
Last updated
03/15/2023
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