Individual
DANIELLE LORRAINE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
174 NORTON ST, ROCHESTER, NY 14621-3154
(585) 503-9351
Mailing address
174 NORTON ST, ROCHESTER, NY 14621-3154
(585) 503-9351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
246635-1
NY
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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