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Chisana White

Case Manager/Care Coordinator in Eureka, CA. Individual provider (NPI-1).

NPI number1003198441
StatusActive
Last updated in NPPESSep 12, 2011

Details

NPI
1003198441
Entity type
Individual (NPI-1)
Name
Chisana White
Sex
Female
Sole proprietor
No
Enumeration date
Sep 12, 2011
Last updated
Sep 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator1558314161CAYes

Practice location

3960 Walnut Dr
Eureka, CA 95503-8938

Phone 707-268-8722

Mailing address

3960 Walnut Dr
Eureka, CA 95503-8938

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