Individual
MS. KATHLEEN ELIZABETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
792 WEST ST APT C210, MANSFIELD, MA 02048-1192
(774) 719-4661
Mailing address
792 WEST ST APT C210, MANSFIELD, MA 02048-1192
(774) 719-4661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN257604
MA
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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