Individual
MR. CHARLES TYRONE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMA, RMA
Contact information
Practice address
35 FIDELIS WAY # 105, BRIGHTON, MA 02135-4409
(617) 390-3613
Mailing address
35 FIDELIS WAY # 105, BRIGHTON, MA 02135-4409
(617) 390-3613
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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