Individual ProviderAmaya BradshawRegistered NurseNursing Service ProvidersPractice Address490 N Grape St, Escondido, CA 92025-3079(760) 975-9939PECOS EnrollmentBased on the most recent information from CMS, provider Amaya Bradshaw does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104640051Provider TypeIndividualFull NameBradshaw, AmayaGenderFemaleSole ProprietorNoEnumeration Date11/7/2024Last Updated11/7/2024Contact InformationPractice LocationPractice Address490 N Grape St, Escondido, CA 92025-3079Phone(760) 975-9939FaxUnlisted FaxMailing LocationMailing Address490 N Grape St, Escondido, CA 92025-3079Phone(760) 975-9939FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense95312992California