Individual
BRANDI MICHELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(301) 540-6140
Mailing address
5649 CARPENTER ST, PHILA, PA 19143-2803
(267) 970-8653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN710648
PA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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