Wade, Tina

Wade, Tina is an individual health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wade, Tina can be contacted via phone (909) 878-2326.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307-1221
Phone: (909) 878-2326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1235534173
LBN Legal business name Wade, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2014
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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