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Danny White

Community Health Worker in Van, WV. Individual provider (NPI-1).

NPI number1467037101
StatusActive
Last updated in NPPESMar 15, 2021

Details

NPI
1467037101
Entity type
Individual (NPI-1)
Name
Danny White
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 15, 2021
Certification date
Feb 23, 2021
Last updated
Mar 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

345 Bigson Church Rd
Apt. 303
Van, WV 25206

Phone 304-245-8949

Mailing address

345 Bigson Church Rd
Apt. 303
Van, WV 25206

Phone 304-245-8949

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