Individual
MOLLIE MATILDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(888) 949-4864
Mailing address
PO BOX 572070, MURRAY, UT 84157-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10409723-3102
UT
Other
Enumeration date
10/10/2006
Last updated
11/15/2018
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