Ida V White, PA
NPI #1154882538 in Providence, Rhode Island
Provider Information
- NPI Number
- 1154882538
- Entity Type
- Individual
- Name
- Ida V White, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Mar 27, 2019
- Last Updated
- Jun 21, 2022
Practice Location
- Address
- 164 SUMMIT AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906
- Phone
- (401) 793-4102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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