Individual
MS. PAULETTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 WOODROW ST NE, FORT WALTON BEACH, FL 32547-2434
(850) 461-3035
Mailing address
402 WOODROW ST NE, FORT WALTON BEACH, FL 32547-2434
(850) 461-3035
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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