Individual
THOMAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 WHEATON WAY STE B, BREMERTON, WA 98310-3372
(360) 792-2020
Mailing address
2625 WHEATON WAY STE B, BREMERTON, WA 98310-3372
(360) 792-2020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60973910
WA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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