Individual
SANDRA ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
15 FOREST ST, PO BOX 237, WEST BRIDGEWATER, MA 02379-1903
(508) 584-5021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92801
MA
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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