Individual
MRS. MABELLEN S. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3200 CONCORDIA AVE, MONROE, LA 71201-5113
(318) 362-5188
(318) 362-5214
Mailing address
301 MARSHALL DR, MONROE, LA 71202-6934
(318) 362-5188
(318) 362-5214
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN032871
LA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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