White, Jetuane

White, Jetuane is an individual health care provider with primary practice located at 5663 S Laburnum Ave , Henrico VA 23231-4418. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. White, Jetuane can be contacted via phone (804) 737-3917.

Contact Information

Primary practice address
5663 S Laburnum Ave Henrico VA 23231-4418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Virginia

Profile Details

NPI number 1376087155
LBN Legal business name White, Jetuane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 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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