Macalec Bradley

NPI 1073903936 - Community Health Worker - 172V00000X

NPI Details
NPI 1073903936
Gender Male
Enumeration Date 01/30/2015
Last Updated 06/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3230 S BUFFALO DR STE 101
LAS VEGAS NV, 89117-2506, US
Phone (888) 337-4551
Fax
Business Location
3230 S BUFFALO DR STE 101
LAS VEGAS NV, 89117-2506, US
Phone
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Macalec Bradley NPI is 1073903936, taxonomy code is 172V00000X Macalec Bradley physically located at 3230 S Buffalo Dr Ste 101, Las Vegas NV, 89117-2506. NPI Number Macalec Bradley has the Individual type.

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1073903936 NPI number is provided on an as is basis without warranty of any kind. 1073903936 is maintained by the National Plan & Provider Enumeration System. The contents of Macalec Bradley are for informational purposes only.