Individual
CHRISTY JEANETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
26479 FREMONT DR, ZIMMERMAN, MN 55398-4566
(612) 229-7767
Mailing address
26479 FREMONT DR, ZIMMERMAN, MN 55398-4566
(612) 229-7767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2416
MN
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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