Individual
SHALEESE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 VILLAGE DR DEPT 2801, OGDEN, UT 84408-2801
(801) 626-6000
Mailing address
2834 W 1600 N, CLINTON, UT 84015-7904
(801) 513-8313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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