Individual
MISS CHERYL LYNN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10116 EAST DR, GRASS VALLEY, CA 95945-8507
(530) 274-8263
(530) 274-8263
Mailing address
10116 EAST DR, GRASS VALLEY, CA 95945-8507
(530) 274-8263
(530) 274-8263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
731659
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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