Individual
LEVI WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
337 COLLEGE AVE, SANTA ROSA, CA 95401-5117
(707) 217-7074
Mailing address
1083 VINE ST # 350, HEALDSBURG, CA 95448-4830
(707) 217-7074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
11/15/2013
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