Individual
TANISHA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 558-2610
Mailing address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 558-2610
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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