Individual
WANAKEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 PARKE BROOK DR, ACWORTH, GA 30101-6407
(908) 941-6624
Mailing address
4930 PARKE BROOK DR, ACWORTH, GA 30101-6407
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/07/2023
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