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Individual

KATRINA BETH WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
5213 SKYLINE DR, CHANDLER, TX 75758-8551
(903) 941-1261
Mailing address
5213 SKYLINE DR, CHANDLER, TX 75758-8551
(903) 941-1261

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
153601
TX

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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