Individual
HEATHER ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 563-2636
(757) 563-2438
Mailing address
1149 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 563-2636
(757) 563-2438
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003274
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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