Individual
MS. CORLISS ANN WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MA BSN NHA
Contact information
Practice address
5471 DR. MARTIN LUTHER KING DRIVE, ST LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR. MARTIN LUTHER KING DRIVE, ST LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62190
MO
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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