Individual
MRS. CLEMENCE WHITE
Active
Individual
MRS. CLEMENCE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0102208367
VA
207RG0100X
Gastroenterology Physician
1209
NE
208D00000X
General Practice Physician
05-37631
KS
Other
Enumeration date
06/11/2013
Last updated
03/18/2025
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