Individual
DESSIRAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1625 E 30TH AVE, HUTCHINSON, KS 67502-1226
(620) 728-0923
Mailing address
1035 30TH RD, WINDOM, KS 67491-9341
(620) 245-5190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-111356-081
KS
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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