Individual
TINA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON ST, FLORISSANT, MO 63031-5921
(314) 921-9498
(314) 921-9948
Mailing address
100 WASHINGTON ST., FLORISSANT, MO 63031-1063
(314) 921-9498
(314) 921-9948
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
2000149870
MO
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
11/22/2016
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