Crystal Amanda Wade
Crystal Amanda Wade is a Homemaker in Yucaipa, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
12023 3rd StYucaipa, CA 92399-2743
Phone: (626) 633-7854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1235825308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2023 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
| Mailing address | 1551 Dodge Way, Norco, CA 92860-3885 |