Courtney Derek White
Courtney Derek White is a Student in an Organized Health Care Education/Training Program in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
66 Hurlbut StPasadena, CA 91105-4025
Phone: (626) 441-4221
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1306454277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2020 |
| Last updated in NPPES | July 16, 2020 |
| Certification date | July 16, 2020 |
| Mailing address | 66 Hurlbut St, Pasadena, CA 91105-4025 |
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