MRS. JAMIE WADE

Contractor

Active Individual
NPI: 1720778251

Practice Address

86 PR 25162
South Texarkana, TX 75501

Phone: (903) 244-6184

Specialties

Specialty Code Primary License
Driver 172A00000X No -
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1720778251 is the National Provider Identifier for MRS. JAMIE WADE, a Contractor provider located in South Texarkana, TX. This NPI was enumerated on May 9, 2023.
MRS. JAMIE WADE practices at 86 PR 25162, South Texarkana, TX 75501.

Quick Facts

NPI
1720778251
Type
Individual
Enumerated
May 9, 2023
Last Updated
May 9, 2023