Wanda Lee Wade, LMT, CMLDT | |
5 Vause St, Northport, NY 11768-2118 | |
(631) 327-3324 | |
Not Available |
Full Name | Wanda Lee Wade |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5 Vause St, Northport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295431773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 027200-01 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Wanda Lee Wade, LMT, CMLDT 5 Vause St, Northport, NY 11768-2118 Ph: (631) 327-3324 | Wanda Lee Wade, LMT, CMLDT 5 Vause St, Northport, NY 11768-2118 Ph: (631) 327-3324 |
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