Individual
BRIAN R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(858) 514-0375
Mailing address
5880 LOCHMOOR DR APT 46, RIVERSIDE, CA 92507-8511
(817) 357-0702
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
292798
CA
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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