Individual
MS. JEAN CLAIRE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4655 RUFFNER STREET, SAN DIEGO, CA 92111-2275
(800) 787-6787
(800) 787-6762
Mailing address
PO BOX 17860, SAN DIEGO, CA 92177-7860
(800) 787-6787
(800) 787-6762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2573
CA
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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