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Individual

SHERONDA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
403 E 15TH ST, AUSTIN, TX 78701-1437
(512) 703-1335
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
229111
TX

Other

Enumeration date
03/05/2014
Last updated
03/05/2014
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