Individual
COURTNEY RENAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5922 LIBBIE ST NW, CANTON, OH 44718-1132
(330) 208-8912
Mailing address
5922 LIBBIE ST NW, CANTON, OH 44718-1132
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.162498.MEDS-IV
OH
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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