Most Relevant Information
Provider Data
| NPI Number: | 1003500554 |
| Provider Name: | JASMINE LANA'E WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
926 STEIN CT APT 104
KENT
OH
442401757
Practice Location Phone/Fax
| Phone: | 3305541775 |
| Fax: |
Provider Mailing Location
926 STEIN CT APT 104
KENT
OH
442401757
Provider Mailing Phone/Fax
| Phone: | 3305541775 |
| Fax: |