Individual
DAVID WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6688 TATUM RD, DISPUTANTA, VA 23842-6902
(804) 550-8675
Mailing address
6688 TATUM RD, DISPUTANTA, VA 23842-6902
(804) 550-8675
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705135545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705135545
A CONTRACTOR
VA
Enumeration date
10/23/2014
Last updated
10/23/2014
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