Individual
PERNELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11447 WEDMAN CT LOT 49, FREDERICKSBURG, VA 22408-2342
(540) 846-3716
Mailing address
31 KELLEY RD, FREDERICKSBURG, VA 22405-5607
(540) 846-3716
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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