BRADLEY WHITE

PHOENIX, AZ
NPI1447671912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP042487)
Enumeration Date2013-12-30
Last Update Date2013-12-30
Business Address
Mr. BRADLEY WHITE
807 W TUCKEY LN
PHOENIX, AZ 85013-1046
Phone number: 480-495-9943
Mailing Address
Mr. BRADLEY WHITE
807 W TUCKEY LN
PHOENIX, AZ 85013-1046
Phone number: 480-495-9943
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