WRANE XAVIER WHITE

LAKE CITY, FL
NPI1821635210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: FL  29438)
Enumeration Date2019-12-04
Last Update Date2019-12-04
Business Address
WRANE XAVIER WHITE
945 SW MAIN BLVD
LAKE CITY, FL 32025-5746
Phone number: 386-755-3164
Mailing Address
WRANE XAVIER WHITE
945 SW MAIN BLVD
LAKE CITY, FL 32025-5746
Phone number: