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Individual
VIVIAN JEANETTE WHITE
Active
Individual
VIVIAN JEANETTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R069985
AR
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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