Individual
JEANNE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICCE, CLC, CCE, CD
Contact information
Practice address
1756 ROADRUNNER DR, ROSEVILLE, CA 95747-4820
(916) 771-2440
Mailing address
1756 ROADRUNNER DR, ROSEVILLE, CA 95747-4820
(916) 771-2440
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
07/27/2022
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