Individual
FELISA SHONDELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7743
Mailing address
301 ANDREWS AVENUE, FORT RUCKER, AL 36362
(334) 255-7743
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-066341
AL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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