Individual
BRADLEY MARK WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 BAVARIAN LN, BRYAN, OH 43506-8603
(419) 405-8386
Mailing address
1209 BAVARIAN LN, BRYAN, OH 43506-8603
(419) 405-8386
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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