Individual
MS. TONI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7632 WOODCREST AVE, PHILADELPHIA, PA 19151-2705
(610) 496-9142
Mailing address
7632 WOODCREST AVE, PHILADELPHIA, PA 19151-2705
(267) 760-1884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN327804
PA
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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