Individual
KATIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6431 E HERMOSA VISTA DR, MESA, AZ 85215-2203
(480) 620-7406
Mailing address
6431 E HERMOSA VISTA DR, MESA, AZ 85215-2203
(480) 620-7406
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
109963
AZ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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