MRS. Tyesha Rochelle Wade, LPN
NPI #1093408320 in Columbia, South Carolina
Provider Information
- NPI Number
- 1093408320
- Entity Type
- Individual
- Name
- MRS. Tyesha Rochelle Wade, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 1, 2023
- Last Updated
- Jun 1, 2023
Practice Location
- Address
- 3616 KELFORD DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29209-4329
- Phone
- (803) 521-2848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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