SHATOCQUWA WHITE

TYLER, TX
NPI1104402429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  205711)
Enumeration Date2021-03-18
Last Update Date2021-03-18
Business Address
SHATOCQUWA WHITE
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
Mailing Address
SHATOCQUWA WHITE
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: