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Individual

KENNETH WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 N CAPITOL ST NW APT B208, WASHINGTON, DC 20002-7517
(240) 240-7948
Mailing address
1200 N CAPITOL ST NW APT B208, WASHINGTON, DC 20002-7517
(240) 794-8050

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/10/2023
Last updated
11/10/2023
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