KIM WADE

BROOKLYN, NY
NPI1134512536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: NY  171WOOOOOX)
Enumeration Date2015-03-09
Last Update Date2015-03-09
Business Address
KIM WADE MSED
25 VERNON AVE
BROOKLYN, NY 11206-6409
Phone number: 347-529-3980
Mailing Address
KIM WADE MSED
25 VERNON AVE
BROOKLYN, NY 11206-6409
Phone number: 347-529-3980