MRS. Shantell Bradley
NPI #1417432295 in Massapequa, New York
Provider Information
- NPI Number
- 1417432295
- Entity Type
- Individual
- Name
- MRS. Shantell Bradley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 27, 2018
- Last Updated
- Sep 27, 2018
Practice Location
- Address
- 1 BAILEY DR
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-3602
- Phone
- (516) 799-0389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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