Individual
DONNA LONG WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 N US HIGHWAY 1, SEBASTIAN, FL 32958-7524
(772) 783-6462
Mailing address
4213 BIRKDALE DR, FORT PIERCE, FL 34947-1343
(772) 783-6462
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
L19000301214
NC
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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