Individual
DELIECE LEGRANDE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURE PHYS.
Contact information
Practice address
6300 N WICKHAM RD, SUITE 116, MELBOURNE, FL 32940-2028
(321) 626-8638
Mailing address
6300 N WICKHAM RD, SUITE 116, MELBOURNE, FL 32940-2028
(321) 626-8638
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1735
FL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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