Individual
CARMEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10559 JEFFERSON BLVD STE ADE, CULVER CITY, CA 90232-3526
(310) 930-3693
Mailing address
3626 VINTON AVE APT 8, LOS ANGELES, CA 90034-6697
(805) 766-4157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
11/07/2024
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