Derron White, Hair loss specialist
Specialist, Prosthetics Case Management in Marrero, LA. Individual provider (NPI-1).
NPI number1689172611
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1689172611
- Entity type
- Individual (NPI-1)
- Name
- Derron White
- Credential
- Hair loss specialist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2018
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | LA | Yes |
Practice location
2324 Barataria BlvdMarrero, LA 70072
Phone 504-251-8549
Mailing address
2324 Barataria BlvdMarrero, LA 70072
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