| NPI | 1093301400 |
|---|---|
| Professional Name | ODESSA RENE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: AL 4179) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AL 20213979) |
| 374U00000X Home Health Aide (Licence: AL 20213537) | |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2021-05-28 |