Individual
MR. JOSHUA ANTHONY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5838 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2663
(757) 673-5971
Mailing address
128 GOLDEN MAPLE DR, VIRGINIA BEACH, VA 23452-6775
(716) 514-6242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000001321
NY
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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