Individual
MISS MAGDALENE NOUBISSIE WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L P N
Contact information
Practice address
2423 GREENVIEW DR, UNIONTOWN, OH 44685-7886
(713) 927-0693
Mailing address
2423 GREENVIEW DR, UNIONTOWN, OH 44685-7886
(713) 927-0693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN145198MEDS
OH
164X00000X
Licensed Vocational Nurse
0002077340
VA
164X00000X
Licensed Vocational Nurse
Primary
PN145198MEDS
OH
376K00000X
Nurse's Aide
1401116570
VA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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