Individual
TINA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N UNION ST, ALEXANDRIA, VA 22314-2657
(202) 281-9319
Mailing address
43128 FLING CT, BROADLANDS, VA 20148-5022
(202) 281-9319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374J00000X
Doula
Primary
5243
VA
Other
Enumeration date
03/31/2017
Last updated
07/08/2025
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