Bradford, Traci Lavonne

Bradford, Traci Lavonne is an sole proprietor health care provider with primary practice located at 801 Gateway Blvd , South San Francisco CA 94080-7401. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bradford, Traci Lavonne can be contacted via phone (650) 241-5349.

Contact Information

Primary practice address
801 Gateway Blvd South San Francisco CA 94080-7401
Phone: (650) 241-5349
Fax: (833) 218-8864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1144499617
LBN Legal business name Bradford, Traci Lavonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2008
Last updated Jun 26th, 2023 - about 3 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.

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