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Individual

ALICIA FAE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
5354 BLACKMORE RD, SAINT FRANCISVILLE, LA 70775-4201
(225) 678-0861
Mailing address
PO BOX 194, SAINT FRANCISVILLE, LA 70775-0194
(225) 678-0861

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
Z8C2P4Z4
LA

Other

Enumeration date
09/13/2023
Last updated
10/04/2023
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