| NPI | 1386409217 |
|---|---|
| Former Legal Business Name | A.M. WADE NUTRITION GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL WADE CEO / Founder 412-593-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |