Individual
JULIE A WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 E OBERLIN RD, YREKA, CA 96097-9553
(530) 842-9700
(530) 842-9054
Mailing address
PO BOX 1086, YREKA, CA 96097-1086
(530) 842-9700
(530) 842-9054
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RN274159
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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