Individual
SHELBY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 N WILLARD ST, ALTUS, OK 73521-2009
(580) 471-2669
Mailing address
1409 N WILLARD ST, ALTUS, OK 73521-2009
(580) 471-2669
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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