Individual
NAKEYA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
(734) 667-5079
Mailing address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
(734) 667-5079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704286943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4360685
—
MI
Enumeration date
07/22/2015
Last updated
07/22/2015
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