Bradford, Mia Monae

Bradford, Mia Monae is an individual health care provider with primary practice located at 6 Jasmine Ave , Atwater CA 95301-4865. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Renal Dialysis, which is considered as her primary health care specialty. Bradford, Mia Monae can be contacted via phone (209) 424-8425.

Contact Information

Primary practice address
6 Jasmine Ave Atwater CA 95301-4865
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Renal Dialysis 2472R0900X 01156761 California

Profile Details

NPI number 1164253209
LBN Legal business name Bradford, Mia Monae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2024
Last updated Aug 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers