Individual
DR. CHANTELLE THANDEKA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5487
(954) 265-5324
Mailing address
10366 E CLAIRMONT CIR, TAMARAC, FL 33321-7835
(954) 347-3900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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