Individual
INDIA ELAINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S BROADWAY ST, TROTWOOD, OH 45426-3354
(937) 856-5344
Mailing address
125 S BROADWAY ST, TROTWOOD, OH 45426-3354
(937) 856-5344
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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