Individual
LESSIE JONES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING
Contact information
Practice address
633 E RAY RD STE 130, GILBERT, AZ 85296-4206
(480) 812-3680
Mailing address
633 E RAY RD STE 130, GILBERT, AZ 85296-4206
(480) 812-3680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002077807
VA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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