Mariana Bradley

NPI 1134720303 · on the registry since 2020 · sole proprietor

Practice

Address: 3707 Buffalo Rd
Buffalo, WV 25033
Phone: (304) 937-4204
Fax: (304) 937-4206
Organisation at this address: Wal-Mart Stores East Lp
Premise Health Of West Virginia Medical Medical Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia