Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | CA |
NPI | 1275837866 |
---|---|
Provider Name | Mrs. Leann Renee White |
First Address | Clovis, CA 93612-3985 |
Second Address | Clovis, CA 93612-3985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2010 |
Last Update Date | 22/12/2010 |