Individual
ANGEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 WOODBRIDGE AVE, LOGANSPORT, IN 46947-1661
(574) 753-3223
Mailing address
602 WOODBRIDGE AVE, LOGANSPORT, IN 46947-1661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28187214A
IN
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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