Individual
ELIZABETH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 CHURCH ST, LYNCHBURG, VA 24504-4603
(434) 200-3656
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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