Individual
MR. TRAVIS WAYNE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8700 BEVERLY BLVD., OFFICE 8S73, LOS ANGELES, CA 90048
(310) 423-8896
Mailing address
8700 BEVERLY BLVD., OFFICE 8S73, LOS ANGELES, CA 90048
(310) 423-8896
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20262
CA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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