Individual
RONALD WADE ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 UNIVERSITY AVE STE 2B, FAIRBANKS, AK 99709-3651
(907) 929-5826
Mailing address
1550 E 74TH AVE, ANCHORAGE, AK 99507-2614
(907) 929-5826
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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