Individual
JOHANNA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N OXFORD WALK, 1E, BROOKLYN, NY 11205-3167
(917) 450-3036
Mailing address
151 N OXFORD WALK, 1E, BROOKLYN, NY 11205-3167
(917) 450-3036
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
437267
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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