Bradley, Latrece
Bradley, Latrece is an individual health care provider with primary practice located at 10428 Lower Azusa Rd , El Monte CA 91731-1208. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bradley, Latrece can be contacted via phone (626) 228-0013.Contact Information
Primary practice address
10428 Lower Azusa Rd
El Monte CA 91731-1208
Phone: (626) 228-0013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | California |
Profile Details
| NPI number | 1811186604 |
|---|---|
| LBN Legal business name | Bradley, Latrece |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Aug 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811186604 | NPPES |
| California | Other | 171M00000X | MHW-CM |
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