Individual
AUTUMN ROSE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 787-7678
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 425-3981
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-KVXABI
CA
Other
Enumeration date
02/14/2024
Last updated
06/13/2024
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