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Individual

SHYNDALE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 ROSENWALD ST # 19B, HOLLANDALE, MS 38748-3131
(662) 931-6012
Mailing address
723 ROSENWALD ST 3-7, HOLLANDALE, MS 38748-3173
(662) 931-6012

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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