Victoria Bradford
Licensed Practical Nurse in Shreveport, LA. Individual provider (NPI-1).
NPI number1356712939
StatusActive
Last updated in NPPESOct 8, 2015
Details
- NPI
- 1356712939
- Entity type
- Individual (NPI-1)
- Name
- Victoria Bradford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2015
- Last updated
- Oct 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 200150212 | LA | Yes |
Practice location
2019 Bowman StShreveport, LA 71101-2001
Phone 318-347-2105 · Fax 318-226-5994
Mailing address
2019 Bowman StShreveport, LA 71101-2001
Phone 318-347-2105 · Fax 318-226-5994
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