Individual
LISA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RIDGEWAY DR, BRIDGEPORT, WV 26330-1276
(304) 627-4116
Mailing address
330 RIDGEWAY DR, BRIDGEPORT, WV 26330-1276
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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