Individual
KAYLON M. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3760 SOUTHDOWN MANDALAY RD, HOUMA, LA 70360-8031
(504) 454-8697
Mailing address
1753 BUCCOLA AVE, MARRERO, LA 70072-3323
(504) 335-8795
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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