Individual
ELTON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(337) 375-2430
Mailing address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(337) 375-2430
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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