RICKY LYNN WHITE

MARTINSBURG, WV
NPI1073592564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-001492)
Enumeration Date2006-01-12
Last Update Date2007-07-16
Business Address
Mr. RICKY LYNN WHITE Physician Assistant
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-262-0811
Mailing Address
Mr. RICKY LYNN WHITE Physician Assistant
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-263-0811