Individual
DIANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 BELMONT DR, MURRAY, KY 42071-3245
(618) 322-7255
Mailing address
1504 BELMONT DR, MURRAY, KY 42071-3245
(618) 322-7255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041257968
KY
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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