Individual
ADELLA NICOLE WRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
(619) 287-8225
Mailing address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
(619) 287-8225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
05/07/2025
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