Individual
MS. KEIRA ROSE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 W SHAWNEE TRL, WHARTON, NJ 07885-2921
(973) 229-4746
Mailing address
7 W SHAWNEE TRL, WHARTON, NJ 07885-2921
(973) 229-4746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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