Individual
ERIC ALLAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 G ST, GALT, CA 95632-1949
(209) 251-7461
(209) 912-4036
Mailing address
511 G ST, GALT, CA 95632-1949
(209) 251-7461
(209) 912-4036
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
342701018
CA
Other
Enumeration date
05/06/2021
Last updated
05/19/2021
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