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Individual

NATHIA STEPHANIE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35 MARION ST, MEDFORD, MA 02155-6219
(857) 222-7529
(781) 874-0945
Mailing address
35 MARION ST, MEDFORD, MA 02155-6219
(857) 222-7529
(781) 874-0945

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MA
376K00000X
Nurse's Aide
MA

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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