Individual
MS. JEANINE F WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24103 DEL MONTE DR UNIT 432, SANTA CLARITA, CA 91355-3843
(530) 701-7786
Mailing address
24103 DEL MONTE DR UNIT 432, SANTA CLARITA, CA 91355-3843
(530) 701-7786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2260
—
CA
Enumeration date
02/20/2012
Last updated
02/20/2012
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