Carlos White

NPI #1033420617 in Jackson, Kentucky

Provider Information

NPI Number: 1033420617
Entity Type: Individual
Name: Carlos White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 3824 HWY. 15 SOUTH
City: Jackson
State: Kentucky
ZIP Code: 41339
Phone: (606) 666-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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