Individual
JODIE LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH SERVICES TEC
Contact information
Practice address
5388 MITCHELL AVE, BUZZARDS BAY, MA 02542-1517
(508) 968-6572
Mailing address
5388 MITCHELL AVE, BUZZARDS BAY, MA 02542-1517
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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