| Tierra Rene Bradley | |
|
3700 Pecos Mcleod Ste 100 Las Vegas NV 89121-4259 | |
| (702) 335-5714 | |
| Not Available |
| Full Name | Tierra Rene Bradley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3700 Pecos Mcleod Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Tierra Bradley (OWNER) |
| Authorized Official Contact | 7023355714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tierra Rene Bradley 6501 Duck Hill Springs Dr Las Vegas NV 89122-3509 Ph: () - | Tierra Rene Bradley 3700 Pecos Mcleod Ste 100 Las Vegas NV 89121-4259 Ph: (702) 335-5714 |
| NPI Number | 1750853883 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 12/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750853883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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