Individual
JOANNA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
143 W STATE ST, GRANBY, MA 01033-9701
(413) 301-3055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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