Brijan Phyllice White
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1245972744
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1245972744
- Entity type
- Individual (NPI-1)
- Name
- Brijan Phyllice White
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2022
- Certification date
- Apr 3, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
601 S 10th StLas Vegas, NV 89101-7027
Phone 702-382-4061
Mailing address
601 S 10th StLas Vegas, NV 89101-7027
Phone 702-382-4061
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