Crystal Amanda Wade

NPI #1235825308 in Yucaipa, California

Provider Information

NPI Number
1235825308
Entity Type
Individual
Name
Crystal Amanda Wade
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Apr 12, 2023
Last Updated
Apr 12, 2023

Practice Location

Address
12023 3RD ST
ZIP Code
92399-2743
Phone
(626) 633-7854

Specialties & Taxonomy Codes

Specialty
Homemaker

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