Individual
TAYLOR BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 BROADWAY AVE, CLARKSBURG, WV 26301-3218
(304) 918-8750
Mailing address
424 BROADWAY AVE, CLARKSBURG, WV 26301-3218
(304) 918-8750
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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