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Individual

JENNIFER MARIE WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10301 HAGEN RANCH RD, BOYNTON BEACH, FL 33437-3724
(954) 581-3533
Mailing address
1403 VILLA JUNO DR S, JUNO BEACH, FL 33408-2402
(908) 565-1079

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015862
NY
363A00000X
Physician Assistant
Primary
PA9115997
FL

Other

Enumeration date
08/16/2012
Last updated
01/08/2024
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