NPI 1114476694

Dorian Wade

Practitioner Student in an Organized Health Care Education/Training Program Compton, CA

Practice location

Address: 1500 E Kay St, Compton, CA 90221-1752
Phone: (323) 242-5000

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1114476694
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2016
Record last updated: 26 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.