Thomas White

NPI #1639569742 in Jackson, Missouri

Provider Information

NPI Number: 1639569742
Entity Type: Individual
Name: Thomas White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jan 27, 2015
Last Updated: Jan 27, 2015

Practice Location

Address: 2370 N HIGH ST
Address 2: SUITE NUMBER 5
City: Jackson
State: Missouri
ZIP Code: 63755-8365
Phone: (573) 204-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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