Individual
MRS. ANGELA MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
451 HEALTH PKWY STE B, PAW PAW, MI 49079-8242
(269) 655-3066
(269) 655-0585
Mailing address
451 HEALTH PKWY STE B, PAW PAW, MI 49079-8242
(269) 655-3066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704244634
MI
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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