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LET IT GO JANET WHITE ADULT HEALTH NURSE PRACTITIONER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET WHITE DNP (OWNER)
(917) 324-8860
Entity
Organization

Contact information

Practice address
64 E ROE BLVD, PATCHOGUE, NY 11772-2611
(631) 408-1545
Mailing address
30 HIGH PASTURE CIR, DIX HILLS, NY 11746-5621
(917) 324-8860

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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