Individual
MICHELLE LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2445
(716) 816-2537
Mailing address
158 N MAIN ST, ANGOLA, NY 14006-1110
(716) 479-2388
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317438-1
NY
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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