Individual
BRIANNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 922-9444
Mailing address
1632 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 922-9444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2111
NM
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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