Individual
VALFORD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 10TH AVE S, GULFPORT, FL 33707-2625
(727) 289-3416
(727) 289-3418
Mailing address
4930 10TH AVE S, GULFPORT, FL 33707-2625
(727) 289-3416
(727) 289-3418
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AL11173
FL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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