Shivaughn White
NPI #1013797000 in Valley Stream, New York
Provider Information
- NPI Number
- 1013797000
- Entity Type
- Individual
- Name
- Shivaughn White
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 5, 2023
- Last Updated
- Oct 5, 2023
Practice Location
- Address
- 497 ROCKAWAY AVE
- City
- Valley Stream
- State
- New York
- ZIP Code
- 11581-1909
- Phone
- (718) 845-2621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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