Individual
DANIELLE ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 DELMAR PL, SYRACUSE, NY 13208-3105
(315) 380-3876
Mailing address
152 DELMAR PL, SYRACUSE, NY 13208-3105
(315) 380-3876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331455
NY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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