Individual
NIKIA C WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(559) 554-9710
(559) 554-9711
Mailing address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(559) 554-9710
(559) 554-9711
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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