Individual
MRS. TIANA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 DAVID LN, LEXINGTON, SC 29073-8011
(803) 687-4904
Mailing address
17 DAVID LN, LEXINGTON, SC 29073-8011
(803) 687-4904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53916
SC
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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