Individual
DE ARA ANNISE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 CONVOY ST, SAN DIEGO, CA 92111-3754
(858) 573-9368
Mailing address
3707 CONVOY ST, SAN DIEGO, CA 92111-3754
(619) 987-8584
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
06/13/2026
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