Individual
MRS. DOLORES ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2911 RICE LOOP, CHARLESTON, AR 72933-3035
(817) 692-0693
Mailing address
PO BOX 964, LAVACA, AR 72941-0964
(817) 692-0693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
520720
TX
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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