Individual
ELLY J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 ROAD 164, PINE BLUFFS, WY 82082-9720
(425) 350-4660
Mailing address
3360 ROAD 164, PINE BLUFFS, WY 82082-9720
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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