Individual
CHARLES LESLIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2161 NW 11TH DR, CHIEFLAND, FL 32626-1924
(352) 493-7830
(352) 493-4840
Mailing address
2161 NW 11TH DR, CHIEFLAND, FL 32626-1924
(352) 493-7830
(352) 493-4840
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4659
FL
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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