Individual
VERONICA LYNN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-1941
(910) 907-6000
Mailing address
1208 S BAYVIEW AVE, SEASIDE PARK, NJ 08752-1941
(908) 217-5160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
01/09/2019
Last updated
10/23/2023
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