Individual
ALEXANDER WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24012 PASEO DEL CAMPO, LAGUNA NIGUEL, CA 92677-2407
(949) 338-7401
Mailing address
24012 PASEO DEL CAMPO, LAGUNA NIGUEL, CA 92677-2407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
38186
CA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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