Individual
CALLIE JORDAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2707 SPENCERPORT RD, SPENCERPORT, NY 14559-1942
(585) 349-5253
Mailing address
4970 COUNTY RD 36, HONEOYE, NY 14471
(585) 794-0743
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
702328
NY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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