Jewell Douglas Bradford

NPI #1063136570 in Wasilla, Alaska

Provider Information

NPI Number: 1063136570
Entity Type: Individual
Name: Jewell Douglas Bradford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 1363 W SPRUCE AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-5327
Phone: (907) 376-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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