| Sia Terra Bradford, LPN | |
|
1508 Erie St S, Massillon, OH 44646-7974 | |
| (234) 521-5318 | |
| Not Available |
| Full Name | Sia Terra Bradford |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1508 Erie St S, Massillon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417885724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN.196437 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sia Terra Bradford, LPN 1508 Erie St S, Massillon, OH 44646-7974 Ph: () - | Sia Terra Bradford, LPN 1508 Erie St S, Massillon, OH 44646-7974 Ph: (234) 521-5318 |
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