Individual
MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E BROADWAY RD APT 1137, TEMPE, AZ 85282-1660
(480) 658-4599
Mailing address
1500 E BROADWAY RD APT 1137, TEMPE, AZ 85282-1660
(480) 658-4599
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
Q14778
AZ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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