Individual
MR. BRADLEY INGRAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD61130137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY1668
AUDIOLOGY LICENSE
FL
Enumeration date
07/13/2009
Last updated
11/08/2022
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