Virginia Wade's National Provider Identifier (NPI) Details
Virginia Wade, BS
NPI: 1285939454
Enumeration Date: 2011-01-20
Last updated: 2011-01-20
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 568, CORBIN, KY
Phone:
Primary Practice Address: 1203 AMERICAN GREETING CARD RD, CORBIN, KY
Practice's phone: 606-528-7010