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Contact Information

SELENA BRADFORD
598 UPTOWN VILLAGE CIR APT 101
MEMPHIS, TN38107-1475
 Phone: 901-267-8636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for SELENA BRADFORD · (Female)

NPI Number 1689332256
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2021
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 3118
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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