Search › Washington › 175T00000X
Mary Bradley, CG60735677
NPI 1568934420 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2422 96th St S Apt J105
Tacoma, WA 98444 - Phone
- (805) 217-5654
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-22
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 Washington