Individual
KAREN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3847 PINE GROVE AVE, SUITE B, FORT GRATIOT, MI 48059-4265
(810) 984-2250
Mailing address
1900 RIVER RD APT E8, MARYSVILLE, MI 48040-1863
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704109171
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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