Individual
ALICIA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2032 WHITNER ST, JACKSONVILLE, FL 32209-5535
(352) 256-2861
Mailing address
2032 WHITNER ST, JACKSONVILLE, FL 32209-5535
(352) 256-2861
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
12/13/2021
Last updated
05/20/2024
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