Individual
MS. CHARISSA ANTIONETTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2814 MAPLETON AVE, NORFOLK, VA 23504-3722
(757) 729-6929
Mailing address
2814 MAPLETON AVE, NORFOLK, VA 23504-3722
(757) 729-6929
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T60666026
VA
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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