Wanda Lee Wade, LMT, CMLDT

NPI #1295431773 in Northport, New York

Provider Information

NPI Number
1295431773
Entity Type
Individual
Name
Wanda Lee Wade, LMT, CMLDT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT, CMLDT
Enumeration Date
Feb 6, 2023
Last Updated
Feb 6, 2023

Practice Location

Address
5 VAUSE ST
ZIP Code
11768-2118
Phone
(631) 327-3324

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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