Individual
DR. JOHNA LEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
240 W MAIN ST, WEST PLAINS, MO 65775-2726
(417) 257-2477
Mailing address
PO BOX 485, BRANDSVILLE, MO 65688-0485
(417) 274-4366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018000970
MO
Other
Enumeration date
01/20/2018
Last updated
06/16/2018
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