Individual
SINDY LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
216 W MAIN ST, GOLDENDALE, WA 98620-9587
(509) 773-5633
Mailing address
216 W MAIN ST, GOLDENDALE, WA 98620-9587
(509) 773-5633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60487487
WA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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