Individual
ETHLENE EVETTE DADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(760) 936-7118
Mailing address
14390 DALTON CT, VICTORVILLE, CA 92394-3212
(323) 973-3647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1208802
TX
363LF0000X
Family Nurse Practitioner
Primary
95025043
CA
Other
Enumeration date
05/23/2023
Last updated
12/16/2025
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