Individual
MISTY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE AIDE
Contact information
Practice address
8306 JAMESTOWN DR, WINTER HAVEN, FL 33884-4817
(863) 440-8064
Mailing address
8306 JAMESTOWN DR, WINTER HAVEN, FL 33884-4817
(863) 440-8067
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
92297
FL
Other
Enumeration date
06/28/2021
Last updated
07/04/2021
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