Lateka Wade

NPI #1285128009 in Portage, Michigan

Provider Information

NPI Number
1285128009
Entity Type
Individual
Name
Lateka Wade
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 15, 2018
Last Updated
Jun 15, 2018

Practice Location

Address
524 W CENTRE AVE
ZIP Code
49024-5306
Phone
(269) 324-1180

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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