Individual
MARGARITA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99-040 KAUHALE STREET, #1961, AIEA, HI 96701-9998
(334) 625-0706
Mailing address
99-040 KAUHALE STREET, #1961, AIEA, HI 96701-9998
(334) 625-0706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1290
HI
Other
Enumeration date
08/12/2019
Last updated
01/26/2021
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