Individual
MRS. RONDA R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
11/19/1971
Contact information
Practice address
17 RIVER ST, COOPERSVILLE, MI 49404-1317
(616) 299-9801
Mailing address
17 RIVER ST, COOPERSVILLE, MI 49404-1317
(616) 299-9801
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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