Individual
PERSIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 LIBERTY LOOP APT 204, FREDERICKSBRG, VA 22408-9630
(571) 991-6707
Mailing address
2029 LIBERTY LOOP APT 204, FREDERICKSBRG, VA 22408-9630
(571) 991-6707
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1409811
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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