Individual
MRS. RAEANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
(385) 646-4671
Mailing address
4046 BRIDLEWOOD DR, BOUNTIFUL, UT 84010-8055
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
207892-3102
UT
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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