Individual
MASHANDA LACOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 WINTER WHEAT DR, GUTHRIE, OK 73044-7750
(405) 679-8280
Mailing address
116 WINTER WHEAT DR, GUTHRIE, OK 73044-7750
(405) 679-8280
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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