Individual
MS. KIMBERLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5023 BROOKTREE DR, CHARLOTTE, NC 28208-1616
(513) 510-6064
Mailing address
5023 BROOKTREE DR, CHARLOTTE, NC 28208-1616
(513) 510-6064
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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