Individual
CLARENCE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 PINE GROVE RD, LINDSIDE, WV 24951-7018
(304) 994-1811
Mailing address
539 PINE GROVE RD, LINDSIDE, WV 24951-7018
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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