Individual
MISS VANESSA NICHOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 MARION ST, VALDOSTA, GA 31601-4029
(229) 398-8560
Mailing address
1505 E PARK AVE APT K3, VALDOSTA, GA 31602-3260
(229) 398-8560
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
23-015
GA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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