Jeremiah Bradshaw
NPI #1144863721 in Venice, California
Provider Information
- NPI Number
- 1144863721
- Entity Type
- Individual
- Name
- Jeremiah Bradshaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Oct 25, 2019
- Last Updated
- Oct 25, 2019
Practice Location
- Address
- 48 WESTMINSTER AVE APT 5
- City
- Venice
- State
- California
- ZIP Code
- 90291-3660
- Phone
- (323) 627-7243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
| Taxi |
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