Individual
MR. WALTER IRVIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11240 HESS CT, WALDORF, MD 20601-4961
(240) 346-6915
(301) 843-3803
Mailing address
11240 HESS COURT, WALDORF, MD 20601-4961
(240) 346-6915
(301) 843-3803
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
DC
Other
Enumeration date
04/26/2007
Last updated
07/09/2007
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