MR. Tristan Phoenix White I

NPI #1073217949 in Minford, Ohio

Provider Information

NPI Number
1073217949
Entity Type
Individual
Name
MR. Tristan Phoenix White I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Mar 27, 2023
Last Updated
Mar 27, 2023

Practice Location

Address
397 OLIVER RD
State
Ohio
ZIP Code
45653-8661
Phone
(740) 876-2601

Specialties & Taxonomy Codes

Specialty
Home Health

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