MS. Gwendolyn Bradley

NPI #1578005955 in O Fallon, Illinois

Provider Information

NPI Number
1578005955
Entity Type
Individual
Name
MS. Gwendolyn Bradley
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 16, 2016
Last Updated
Nov 16, 2016

Practice Location

Address
294 KINGS RIDGE BLVD
ZIP Code
62269-6330
Phone
(618) 975-3781

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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