Carissa Kay Bradley

NPI #1093012189 in Roseville, Minnesota

Provider Information

NPI Number
1093012189
Entity Type
Individual
Name
Carissa Kay Bradley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 25, 2011
Last Updated
Feb 25, 2011

Practice Location

Address
2800 CLEVELAND AVE N
ZIP Code
55113-1126
Phone
(651) 642-1825

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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