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Individual

JENNIFER WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22601 ESSEX WAY ST, SOUTHFIELD, MI 48033-3331
(248) 383-3237
Mailing address
22601 ESSEX WAY ST, SOUTHFIELD, MI 48033-3331

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
73725111
MI

Other

Enumeration date
02/06/2016
Last updated
02/06/2016
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