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Jessica Bradley

NPI 1821487182 · on the registry since 2015 · sole proprietor

Practice

Address
2094 Ee Wallace Blvd N
Ferriday, LA 71334
Phone
(318) 757-8172
Fax
(318) 757-0762

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-09

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 Louisiana