Individual
CLIFTON WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1361 JAMESTOWNE DR, SEVERN, MD 21144-2724
(301) 529-5301
(240) 765-6336
Mailing address
1361 JAMESTOWNE DR, SEVERN, MD 21144-2724
(301) 529-5301
(240) 765-6336
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W-300-119-009-336
MD
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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