Bradley Medical Supply LLC

NPI #1013198951 in Mansura, Louisiana

Provider Information

NPI Number
1013198951
Entity Type
Organization
Organization Name
Bradley Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 20, 2007
Last Updated
Jan 17, 2008

Practice Location

Address
159 GUILBEAU RD
ZIP Code
71350-4408
Phone
(318) 253-4952

Authorized Official

Name
MR. BRADLEY JAMES DAIGREPONT
Title
OWNER
Phone
(318) 253-4952

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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