White, Deborah Lynn

White, Deborah Lynn is an individual health care provider with primary practice located at 1514 Valley Vista Dr , Diamond Bar CA 91765-3929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. White, Deborah Lynn can be contacted via phone (909) 860-1144.

Contact Information

Primary practice address
1514 Valley Vista Dr Diamond Bar CA 91765-3929
Phone: (909) 860-1144
Fax: (909) 860-8307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17670 California

Profile Details

NPI number 1417165978
LBN Legal business name White, Deborah Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417165978 NPPES
California Other PA17670 LICENSE

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