Individual
JENNIFER BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 E 81ST ST, SHREVEPORT, LA 71106-5020
(318) 795-7270
Mailing address
480 E 81ST ST, SHREVEPORT, LA 71106-5020
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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