Individual
ALTHEA MAUREEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 E 224TH ST APT 2, BRONX, NY 10466-5898
(914) 562-8219
Mailing address
1267 E 224TH ST APT 2, BRONX, NY 10466-5898
(914) 562-8219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309614
NY
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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