BRIAN WHITE

TUPELO, MS
NPI1518637776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  328238)
Enumeration Date2021-09-17
Last Update Date2021-09-17
Business Address
BRIAN WHITE
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
Mailing Address
BRIAN WHITE
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595