JIMMY A WHITE

SHREVEPORT, LA
NPI1548212889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  APO4661)
Enumeration Date2006-05-16
Last Update Date2010-03-29
Business Address
-- JIMMY A WHITE CRNA
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
Mailing Address
-- JIMMY A WHITE CRNA
PO BOX 37046
SHREVEPORT, LA 71133-7046
Phone number: 318-631-9121
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