Individual
MR. TERRENCE LA'DELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 OLD FANNIN RD, BRANDON, MS 39047-8795
(601) 706-9525
Mailing address
1222 OLD FANNIN RD, BRANDON, MS 39047-8795
(601) 706-9525
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MS
174H00000X
Health Educator
—
MS
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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