Most Relevant Information
Provider Data
| NPI Number: | 1003425372 |
| Provider Name: | LEAH BRADFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 144361 |
Most Important Dates
| Enumeration Date: | 07/23/2020 |
| Last Updated: | 07/23/2020 |
Provider Practice Location
4700 ROCKSIDE RD STE 100
INDEPENDENCE
OH
441312148
Practice Location Phone/Fax
| Phone: | 2167502600 |
| Fax: |
Provider Mailing Location
4700 ROCKSIDE RD STE 100
INDEPENDENCE
OH
441312148
Provider Mailing Phone/Fax
| Phone: | 2167502600 |
| Fax: |