Individual
MONIFA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT, CHA,
Contact information
Practice address
322 MYRTLE AVE, BROOKLYN, NY 11205
(917) 497-7596
Mailing address
1380 VIRGINIA AVENUE, 1C, BRONX, NY 10462-7332
(917) 497-7596
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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