Individual
DANA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Mailing address
4901 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169130795
—
AR
Enumeration date
12/04/2008
Last updated
12/04/2008
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