Individual
KRISTI KAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 S KINGSWOOD ST, DURAND, MI 48429-1732
(810) 493-4583
Mailing address
502 S KINGSWOOD ST, DURAND, MI 48429-1732
(810) 493-4583
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230208221098
MI
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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