Individual
MRS. LEONA DEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
(931) 796-5916
(931) 796-1288
Mailing address
135 TWIN OAKS DR, HOHENWALD, TN 38462-5486
(931) 796-2815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29204
TN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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