Individual provider · NPI-1

Katrina Dashawn Bradley

Home Health Aide · Inkster, MI

NPI number1205686540
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1205686540
Entity type
Individual (NPI-1)
Name
Katrina Dashawn Bradley
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2024
Certification date
Mar 26, 2024
Last updated
Mar 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1736 Heatherwood Dr Apt 102
Inkster, MI 48141-1959

Phone 313-498-4551

Mailing address

1652 Heatherwood Dr Apt 103
Inkster, MI 48141-1956

Phone 313-231-7156

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