Individual
LAURICE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 BEADLILLY WAY, JOPPA, MD 21085-4134
(240) 353-3027
Mailing address
674 BEADLILLY WAY, JOPPA, MD 21085-4134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
974916
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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