Individual
MS. JUANITA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 1ST ST SE APT 417, WASHINGTON, DC 20003-4709
(202) 390-9110
Mailing address
360 H ST NE APT 436, WASHINGTON, DC 20002-5043
(202) 246-9352
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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