Elly J White
NPI #1700752961 in Pine Bluffs, Wyoming
Provider Information
- NPI Number
- 1700752961
- Entity Type
- Individual
- Name
- Elly J White
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 3360 ROAD 164
- City
- Pine Bluffs
- State
- Wyoming
- ZIP Code
- 82082-9720
- Phone
- (425) 350-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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