Individual
SHIQUITA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6942 AUTUMN OAKS DR STE A, OLIVE BRANCH, MS 38654-9379
(662) 890-0012
(662) 890-0522
Mailing address
210 E COMMERCE ST STE 1, HERNANDO, MS 38632-2308
(662) 912-9294
(662) 890-0522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1284
MS
Other
Enumeration date
08/20/2018
Last updated
02/28/2019
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