Individual
MS. TINA MARIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 PONTIAC LOOP, COTTONDALE, FL 32431-7320
(850) 703-7909
Mailing address
2850 PONTIAC LOOP, COTTONDALE, FL 32431-7320
(850) 703-7909
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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