Individual
ANGELA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SKY WAY DR NW, CORYDON, IN 47112-6966
(812) 987-6171
Mailing address
805 SKY WAY DR NW, CORYDON, IN 47112-6966
(812) 987-6171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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