Individual
MISS ASHLEY NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ALICE LN, BLYTHE, CA 92225-2807
(760) 899-8907
Mailing address
311 ALICE LN, BLYTHE, CA 92225-2807
(760) 899-8907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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