Individual
JAMES J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED OPTICIAN
Contact information
Practice address
708 55TH ST, KENOSHA, WI 53140-3732
(262) 656-0101
Mailing address
708 55TH ST, KENOSHA, WI 53140-3732
(262) 656-0101
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NZ038
WI
Other
Enumeration date
03/27/2008
Last updated
07/24/2008
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