Individual provider · Type 1 NPI

Dorian Wade

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

NPI number 1114476694 Active

Practice location

1500 E Kay St
Compton, CA 90221-1752

Call (323) 242-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114476694

Dorian Wade's National Provider Identifier is 1114476694, issued on Sep 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Compton, CA. The record was last updated on Sep 26, 2016.