Individual
LARISSA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3644 COBBLEFIELD CIR SE UNIT 5, CALEDONIA, MI 49316-7612
(989) 252-4830
Mailing address
3644 COBBLEFIELD CIR SE UNIT 5, CALEDONIA, MI 49316-7612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703096876
MI
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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