Individual
MRS. JANE SHOW WADA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2103 MONTROSE AVE, SUITE D, MONTROSE, CA 91020-1546
(818) 957-2066
(818) 957-0689
Mailing address
2103 MONTROSE AVE, SUITE D, MONTROSE, CA 91020-1546
(818) 957-2066
(818) 957-0689
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G30116
CA
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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