Individual
ANDREA HAMMACK-WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3000
Mailing address
310 E THIRD ST, LONG BEACH, MS 39560-6205
(228) 860-9179
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/30/2007
Last updated
09/30/2007
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