Individual
BRADLEY CHARLES ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2000
Mailing address
1735 W SEDONA AVE, VISALIA, CA 93291-8380
(559) 805-6221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09230132
CA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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