BRADLEY JOHNATHAN LEWIS

TROY, OH
NPI1598547580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
BRADLEY JOHNATHAN LEWIS
88 CLOVERLEAF DR
TROY, OH 45373-2710
Phone number: 937-694-2383
Mailing Address
BRADLEY JOHNATHAN LEWIS
88 CLOVERLEAF DR
TROY, OH 45373-2710
Phone number: 937-694-2383
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