Individual
FELICIA SHAWAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 WAGNER AVE, GREENVILLE, OH 45331-2763
(937) 547-9012
Mailing address
1501 WAGNER AVE, GREENVILLE, OH 45331-2763
(937) 547-9012
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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