Individual
STEPHANIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 E PITT PL, VAIL, AZ 85641-9434
(520) 762-0357
Mailing address
7820 E BROADWAY BLVD STE 100, TUCSON, AZ 85710-3939
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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