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Martha Bradley

Case Manager/Care Coordinator in Wasilla, AK. Individual provider (NPI-1).

NPI number1104951920
StatusActive
Last updated in NPPESJan 8, 2008

Details

NPI
1104951920
Entity type
Individual (NPI-1)
Name
Martha Bradley
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 22, 2007
Last updated
Jan 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator723449AKYes
251B00000X Case Management723449AK

Practice location

Hc 35 Box 5475a
Wasilla, AK 99654-8801

Phone 907-258-5665

Mailing address

Hc 35 Box 5475a
Wasilla, AK 99654-8801

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