Individual
MR. WADE A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6034 CHRIS CRAFT ST, N LAS VEGAS, NV 89031-0574
(702) 235-9811
Mailing address
6034 CHRIS CRAFT ST, N LAS VEGAS, NV 89031-0574
(702) 235-9811
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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