Individual
JUVEDIA TRACEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMECOS
Contact information
Practice address
3085 BAY RD STE 8, SAGINAW, MI 48603-2405
(989) 798-4374
Mailing address
8338 SHIELDS DR APT 203, SAGINAW, MI 48609-8503
(989) 392-4408
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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