Tina Wade
NPI #1235534173 in Apple Valley, California
Provider Information
- NPI Number
- 1235534173
- Entity Type
- Individual
- Name
- Tina Wade
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Nov 4, 2014
- Last Updated
- Nov 4, 2014
Practice Location
- Address
- 17800 US HIGHWAY 18
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-1221
- Phone
- (909) 878-2326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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