REGINA BRADFORD

SHREVEPORT, LA
NPI1235650466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-06-28
Last Update Date2022-07-21
Business Address
REGINA BRADFORD
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
Mailing Address
REGINA BRADFORD
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190