NPI 1518491257
Classie Bradford
Practice location
- Address
- 810 Valencia St, Jackson, MS 39204-4744
- Phone
- (601) 405-3831
Registered specialties
Basic Emergency Medical Technician
Primary
Registry record
- NPI
- 1518491257
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Apr 2017
- Record last updated
- 19 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.