Individual
JOHN BRIAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
204 MAIN ST, SOUTHWEST HARBOR, ME 04679-4240
(336) 541-2867
Mailing address
204 MAIN ST, SOUTHWEST HARBOR, ME 04679-4240
(336) 541-2867
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6748
NC
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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