Individual
BARBARA ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 7TH ST NW, WINTER HAVEN, FL 33881-2303
(615) 631-1226
Mailing address
1228 7TH ST NW, WINTER HAVEN, FL 33881-2303
(615) 631-1226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
022110200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022110200
—
FL
Enumeration date
01/08/2019
Last updated
01/08/2019
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