Search › Arizona › 174N00000X
Trine Bradshaw, IBCLC
NPI 1396101077 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9709 E Impala Ave
Mesa, AZ 85209 - Phone
- (480) 242-5588
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-11
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 Arizona