Shannon Wade's National Provider Identifier (NPI) Details
Shannon Wade,
NPI: 1568915981
Enumeration Date: 2016-08-02
Last updated: 2021-09-01
Sole Proprietor: YES
Status: active
Postal Address: 4416 NORWOOD AVE APT 74, SACRAMENTO, CA
Phone: 916-420-4803
Primary Practice Address: 24077 STATE HIGHWAY 49, NEVADA CITY, CA
Practice's phone: 530-265-9057