Individual
JENNIE ANNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 943-0414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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