Individual
MRS. TAFFY KATRINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS(ASCP)CM
Contact information
Practice address
3220 MOODY AVE, ORANGE PARK, FL 32065-6809
(609) 723-4657
Mailing address
3220 MOODY AVE, ORANGE PARK, FL 32065-6809
(609) 723-4657
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
TN42924
FL
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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