Individual
MICHELE LEE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
311 FRANKLIN ST, DENTON, MD 21629-1211
(410) 829-7566
Mailing address
25817 DOGWOOD RD, GREENSBORO, MD 21639-1624
(410) 829-7566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04324
MD
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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