RENITA WHITE

GARY, IN
NPI1396871687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002943)
Enumeration Date2007-02-23
Last Update Date2011-05-16
Business Address
-- RENITA WHITE P.A.
600 S GRANT STREET
GARY, IN 46404-1732
Phone number: 773-538-7958
Mailing Address
-- RENITA WHITE P.A.
4538 S WOODLAWN AVENUE
CHICAGO, IL 60653-1732
Phone number: 773-538-7958
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