Cinnamin Marchall White
Contractor in Zachary, LA. Individual provider (NPI-1).
NPI number1124792122
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1124792122
- Entity type
- Individual (NPI-1)
- Name
- Cinnamin Marchall White
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 011505013 | LA | Yes |
Practice location
18018 Smallen DrZachary, LA 70791-8236
Phone 225-610-7735
Mailing address
18018 Smallen DrZachary, LA 70791-8236
Phone 225-610-7735
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