Individual
KATELYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 ROBINWOOD RD, MONTICELLO, MS 39654-9384
(601) 818-8447
Mailing address
1110 COWAN RD STE B, GULFPORT, MS 39507-3441
(877) 977-0557
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
250640
MS
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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