RAYSHAUN WADE

LOS ANGELES, CA
NPI1710686704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2023-02-28
Last Update Date2023-10-05
Business Address
RAYSHAUN WADE
1774 ZONAL AVE BLDG B
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336
Mailing Address
RAYSHAUN WADE
1774 ZONAL AVE BLDG B
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336