Individual
BROOKE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8341 PINOT GRIGIO ST, ROSEVILLE, CA 95747-6680
(916) 990-5107
Mailing address
8341 PINOT GRIGIO ST, ROSEVILLE, CA 95747-6680
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95263525
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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