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Jade Wilia
NPI 1659930089 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1411 N Mansfield Ave Apt 9
Los Angeles, CA 90028 - Phone
- (818) 309-6011
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California