Individual
MRS. DANA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
284 W LAKE ST, ROSEVILLE, OH 43777-1120
(740) 588-3174
Mailing address
284 W LAKE ST, ROSEVILLE, OH 43777-1120
(740) 214-5097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.104480
OH
Other
Enumeration date
07/13/2009
Last updated
09/12/2018
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