Individual
JOHN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 E GANO AVE, SAINT LOUIS, MO 63107-1321
(314) 565-9137
Mailing address
1411 E GANO AVE, SAINT LOUIS, MO 63107-1321
(314) 565-9137
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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