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Genesis Dade, ATC
NPI 1669106126 · on the registry since 2022
Practice
- Address
- 1222 Lavendar Way
Corona, CA 92882 - Phone
- (951) 665-7256
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 146N00000X
2255A2300X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-12
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