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Individual

DR. STEPHANIE MARY WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5110 JEFFERSON HWY, VISION CENTER, HARAHAN, LA 70123-5302
(504) 818-1463
Mailing address
212 RUE LANDRY, SAINT ROSE, LA 70087-3666
(504) 710-1129

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1269-423T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2497782
LA
Enumeration date
11/08/2006
Last updated
03/14/2021
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