Doctor Name: | JULIE A WADE |
NPI Number: | 1083725329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN274159 |
Business Practice Address: | 105 E Oberlin Rd Yreka, CA - 960979553 |
Business Phone Number: | 5308429700 |
Business Fax Number: | 5308429054 |
Mailing Address: | Po Box 1086, YREKA |
State: | CA |
Postal Code: | 960971086 |
Phone Number: | 5308429700 |
Fax Number: | 5308429054 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471B0102X |
License Number: | RN274159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Bone Densitometry |
Taxonomy Definition: |