BRADLEY CHARLES BROSIUS

TACOMA, WA
NPI1184275042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  61075979)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-09-23
Last Update Date2020-06-17
Business Address
BRADLEY CHARLES BROSIUS
5702 N 26TH ST STE A
TACOMA, WA 98407-2406
Phone number: 253-503-6761
Mailing Address
BRADLEY CHARLES BROSIUS
5702 N 26TH ST STE A
TACOMA, WA 98407-2406
Phone number: 253-503-6761