Individual
TIMMERRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
49367 MARQUETTE CT, SHELBY TWP, MI 48315-3957
(586) 738-4847
Mailing address
49367 MARQUETTE CT, SHELBY TWP, MI 48315-3957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112471
MI
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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