Individual
MR. JAMES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
229 CHALMERS ST, DETROIT, MI 48215-3159
(313) 903-6516
Mailing address
229 CHALMERS ST, DETROIT, MI 48215-3159
(313) 903-6516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101128
MI
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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