Individual
MR. HAYDEN LURIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 HOPE STREET, PROVIDENCE, RI 02906-0290
(317) 796-5452
Mailing address
229 HOPE STREET, PROVIDENCE, RI 02906
(317) 796-5452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
05/28/2019
Last updated
10/31/2024
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