Individual
KELLY CHRISTINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1260 E ARROW HWY BLDG E, UPLAND, CA 91786-4984
(909) 932-1069
Mailing address
1260 E ARROW HWY BLDG E, UPLAND, CA 91786-4984
(909) 932-1069
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
781110
CA
171M00000X
Case Manager/Care Coordinator
781110
CA
Other
Enumeration date
04/13/2021
Last updated
07/25/2023
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