Individual
IVOIRE GILES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN692588
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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