Individual
MISS KATINA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 PAULMERSTON DR, MEDINA, TN 38355-6871
(731) 402-1692
Mailing address
124 PAULMERSTON DR, MEDINA, TN 38355-6871
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
TN
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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