Individual
MRS. HELEN TERESA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 S BYRON BUTLER PKWY STE D, PERRY, FL 32348-5513
(850) 295-4389
Mailing address
607 W ASH ST, PERRY, FL 32347-1852
(850) 295-4389
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1284629
FL
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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