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Jeremiah Bradshaw
NPI 1144863721 · on the registry since 2019 · sole proprietor
Practice
- Address
- 48 Westminster Ave Apt 5
Venice, CA 90291 - Phone
- (323) 627-7243
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 344600000X
- Sex
- Male
- Record last updated
- 2019-10-25
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 California