Individual
KRISTEN DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5714 LOS ROBLES CT, PALMETTO, FL 34221-2215
(941) 705-5699
Mailing address
5714 LOS ROBLES CT, PALMETTO, FL 34221-2215
(941) 705-5699
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
02/05/2020
Last updated
05/17/2021
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