Individual
JODI RUTH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684
Mailing address
750 STEPHENSON HWY, PAYOR CONTRACT SERVICES, TROY, MI 48083-1103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704248249
MI
Other
Enumeration date
09/24/2009
Last updated
04/03/2025
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