Most Relevant Information
Provider Data
| NPI Number: | 1003368127 |
| Provider Name: | DANNAE WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/25/2016 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
6480 PEACOCK TRL
KEITHVILLE
LA
710478999
Practice Location Phone/Fax
| Phone: | 3182102258 |
| Fax: |
Provider Mailing Location
6480 PEACOCK TRL
KEITHVILLE
LA
710478999
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |