TASIA BATES BRADFORD

SYLACAUGA, AL
NPI1366999195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-110150)
Enumeration Date2016-09-09
Last Update Date2019-01-15
Business Address
TASIA BATES BRADFORD CRNP
209 W SPRING ST STE 102
SYLACAUGA, AL 35150
Phone number: 256-401-4686
Mailing Address
TASIA BATES BRADFORD CRNP
209 W SPRING ST STE 102
SYLACAUGA, AL 35150-2974
Phone number: 256-401-4686