Most Relevant Information
Provider Data
NPI Number: | 1003291857 |
Provider Name: | LATONIUS WHITE |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 07/22/2015 |
Last Updated: | 07/22/2015 |
Provider Practice Location
6666 GREEN VALLEY CIR
CULVER CITY
CA
902307068
Practice Location Phone/Fax
Phone: | 3108465270 |
Fax: | 3108465278 |
Provider Mailing Location
6666 GREEN VALLEY CIR
CULVER CITY
CA
902307068
Provider Mailing Phone/Fax
Phone: | 3108465270 |
Fax: | 3108465278 |