Individual
WAVERLYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 E 6TH ST, LONG BEACH, CA 90802-1402
(562) 435-7350
Mailing address
351 E 6TH ST, LONG BEACH, CA 90802-1402
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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