Individual
TONESHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14725 VINE AVE, HARVEY, IL 60426-1756
(708) 845-2883
Mailing address
3704 TAMARIND LN, HAZEL CREST, IL 60429-1527
(708) 845-2883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043133553
IL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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