Individual
OMAR WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2497 GLYNN CT, DETROIT, MI 48206-1746
(248) 636-0735
Mailing address
2497 GLYNN CT, DETROIT, MI 48206-1746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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