Individual
SHINEQUA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N 16TH ST, WEST MEMPHIS, AR 72301-3319
(870) 912-1207
(870) 912-1208
Mailing address
525 N 16TH ST, WEST MEMPHIS, AR 72301-3319
(870) 912-1207
(870) 912-1208
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AR5747
AR
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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