Individual
TASHA WADE
Active
Individual
TASHA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833104295
NEMT
TN
Enumeration date
01/30/2019
Last updated
03/13/2019
Update your record
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