Individual
DONTE JAMAL WHITE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5205 HOLLYMEAD DR, RICHMOND, VA 23223-3355
(804) 806-1206
Mailing address
5205 HOLLYMEAD DR, RICHMOND, VA 23223-3355
(804) 806-1206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019165
VA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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