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Individual

MRS. LAQUITA S WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP, NE

Contact information

Practice address
146 E CHEVES ST, FLORENCE, SC 29506-2525
(843) 661-4835
Mailing address
222 PENSHURST DR, FLORENCE, SC 29506-4162
(843) 441-0594

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200664
SC
363LF0000X
Family Nurse Practitioner
Primary
23347
SC

Other

Enumeration date
05/14/2014
Last updated
02/03/2023
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