Individual
DONOVAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
(225) 223-6968
Mailing address
246 KIRKLEY PL W, BATON ROUGE, LA 70815-6440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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