Individual
JORDAN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 JURUPA AVE STE 214A, RIVERSIDE, CA 92504-1041
(951) 346-8393
Mailing address
2300 S SULTANA AVE, SPC 299R, ONTARIO, CA 91761-5824
(760) 265-9675
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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