Individual
BRYTANI LADAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Enumeration date
07/14/2022
Last updated
05/13/2024
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