Individual
DELOREAN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CORPORATE EXCHANGE DR STE 220, COLUMBUS, OH 43231-7601
(614) 268-3800
Mailing address
2500 CORPORATE EXCHANGE DR STE 220, COLUMBUS, OH 43231-7601
(614) 268-3800
(614) 261-3168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
160588
OH
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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