Individual
TAWANA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3661 YELLOWSTONE AVE, DAYTON, OH 45416-2119
(937) 677-0647
Mailing address
1866 SURREY TRL APT 3, SUGARCRK TWP, OH 45305-2714
(937) 677-0647
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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