Individual
MS. AKIA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 DIETZ DR, CANAL WINCHESTER, OH 43110-7745
(614) 369-8997
Mailing address
6143 DIETZ DR, CANAL WINCHESTER, OH 43110-7745
(614) 369-8997
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SH488648
OH
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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