Individual provider · Type 1 NPI
Gustavia Bradford
Bus · Belcher, LA
NPI number
1669047601
Active
Practice location
6240 Belcher Oil City Rd
Belcher, LA 71004-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Bus Primary | 347B00000X | 005971290 (LA) |
Bus: A public or private organization or business licensed to provide bus services.
About NPI 1669047601
Gustavia Bradford's National Provider Identifier is 1669047601, issued on May 21, 2021. The primary taxonomy on file is Bus (347B00000X), and the practice location is in Belcher, LA. The record was last updated on May 24, 2021.