Individual
TRAIS D WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5657 DJUANNA DR, BATON ROUGE, LA 70811-4006
(225) 333-0731
Mailing address
5657 DJUANNA DR, BATON ROUGE, LA 70811-4006
(225) 333-0731
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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