Individual
ALEC BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 RITTER ST, SAN RAFAEL, CA 94901-3323
(415) 457-8182
Mailing address
12710 BROOKPARK RD, OAKLAND, CA 94619-3137
(510) 289-0658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019763
CA
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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