GLENDON WAYNE BRADLEY

LAKELAND, FL
NPI1861098469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11010529)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
GLENDON WAYNE BRADLEY PMHNP
930 ALICIA RD
LAKELAND, FL 33801-2104
Phone number: 863-680-1950
Mailing Address
GLENDON WAYNE BRADLEY PMHNP
930 ALICIA RD
LAKELAND, FL 33801-2104
Phone number: 863-680-1950
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