Individual
KRISTIN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 EYDE PKWY STE 100, EAST LANSING, MI 48823-5431
(616) 301-8000
Mailing address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
06/06/2024
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