Keisha Bradley

NPI #1144890500 in Jackson, Michigan

Provider Information

NPI Number: 1144890500
Entity Type: Individual
Name: Keisha Bradley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jun 29, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 1001 LAURENCE AVE STE E
City: Jackson
State: Michigan
ZIP Code: 49202-2980
Phone: (517) 750-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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