Individual
DAVIDA B WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0002
(415) 240-2076
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0002
(415) 240-2076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95136390
CA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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