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Ebony Bradford

NPI 1346687613 · on the registry since 2013 · sole proprietor

Practice

Address
3204 Sharpview Ln
Dallas, TX 75228
Phone
(469) 939-7851
Organisation at this address
Foundationplus
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-03

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 Texas