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Individual

MARION THORNTON WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5850 S MAIN ST RM 2236, LOS ANGELES, CA 90003-1215
(323) 897-6361
Mailing address
5850 S MAIN ST RM 2236, LOS ANGELES, CA 90003-1215
(323) 897-6361

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
366356
CA
163WP2201X
Ambulatory Care Registered Nurse
366356
CA

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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