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Individual

GINA D WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 582-7137
(310) 582-7140
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010027593
MO

Other

Enumeration date
02/26/2009
Last updated
04/20/2021
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