Timicka R Bradley | Lancaster, CA • PECOS Search

Timicka R Bradley

Case Manager/Care Coordinator

Other Service Providers

44421 10th St W Ste A, Lancaster, CA 93534-3335

PECOS Enrollment

Based on the most recent information from CMS, provider Timicka R Bradley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427735935
Provider Type
Individual
Full Name
Bradley, Timicka R
Gender
Female

Sole Proprietor
No
Enumeration Date
6/28/2023
Last Updated
6/28/2023

Contact Information

Practice Location

44421 10th St W Ste A, Lancaster, CA 93534-3335

Unlisted Fax

Mailing Location

44421 10th St W Ste A, Lancaster, CA 93534-3335

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer