Edith Wade, L.D.

NPI #1235347121 in Lexington, Mississippi

Provider Information

NPI Number: 1235347121
Entity Type: Individual
Name: Edith Wade, L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: L.D.
Enumeration Date: May 21, 2007
Last Updated: Oct 2, 2007

Practice Location

Address: 17280 HIGHWAY 17 SOUTH
City: Lexington
State: Mississippi
ZIP Code: 39095-0479
Phone: (662) 834-1857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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