Individual
GINA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
16910 HAZELWOOD DR, RIVERSIDE, CA 92503-7913
(951) 961-6183
Mailing address
16910 HAZELWOOD DR, RIVERSIDE, CA 92503-7913
(951) 961-6183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE 9050
CA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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