Individual
BRIAN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
431 E BROAD ST, COLUMBUS, OH 43215-3820
(614) 885-5020
Mailing address
9118 HICKORY LN, HUNTSVILLE, OH 43324-9632
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
158437
OH
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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