Individual
MRS. MELISSA ILENE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2319 BLUFFRIDGE ST, SAN ANTONIO, TX 78232-3947
(210) 455-8132
(210) 451-8179
Mailing address
PO BOX 701456, SAN ANTONIO, TX 78270-1456
(210) 455-8132
(210) 451-8179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
690987
TX
Other
Enumeration date
02/27/2009
Last updated
03/12/2009
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