Individual
AMBER R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SANTA CLARA AVE, DAYTON, OH 45405-3627
(937) 559-1986
Mailing address
105 SANTA CLARA AVE, DAYTON, OH 45405-3627
(937) 559-1986
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0211326
OH
374U00000X
Home Health Aide
400965110809
OH
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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