Bradley, Julia Moon

Bradley, Julia Moon is an individual health care provider with primary practice located at 255 International Blvd , Oakland CA 94606-2235. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bradley, Julia Moon can be contacted via phone (510) 835-2777.

Contact Information

Primary practice address
255 International Blvd Oakland CA 94606-2235
Phone: (510) 835-2777
Fax: (510) 835-0164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RSP2005187 California

Profile Details

NPI number 1215083795
LBN Legal business name Bradley, Julia Moon
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 3rd, 2010 - about 15 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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