Individual
GAIL E EVANS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 STONE LAKE COVE, HENDERSON, NV 89074
(702) 201-0558
Mailing address
2700 E SUNSET RD, LAS VEGAS, NV 89120-3506
(702) 333-0600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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