Gracelyn Wade
Gracelyn Wade is a Student in an Organized Health Care Education/Training Program in Sylacauga, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2020
Practice location Address checks out
4006 Oldfield RdSylacauga, AL 35150-8110
Phone: (256) 861-6234
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence S12694 (AL) |
|---|
Record details
| NPI number | 1538799036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2020 |
| Last updated in NPPES | January 23, 2020 |
| Certification date | January 23, 2020 |
| Mailing address | 4006 Oldfield Rd, Sylacauga, AL 35150-8110 |
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Rebecca Cummings
165 Mcs Blvd, Sylacauga, AL 35150-1138 · (256) 487-0099