Individual
MR. WADE HOWARD MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7452 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-3547
(410) 553-9494
Mailing address
7694 DORCHESTER BLVD APT 210, HANOVER, MD 21076-2070
(443) 254-2563
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MD
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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