Individual
REGINALD L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9343 TECH CENTER DR STE 110, SACRAMENTO, CA 95826-2592
(408) 465-8280
Mailing address
18225 HALE AVE, MORGAN HILL, CA 95037-3547
(408) 465-8280
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42029
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/27/2019
Last updated
11/14/2022
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