Kendrick Dequan White
Kendrick Dequan White is a Driver in Bossier City, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2285 Benton Rd Ste 202Bossier City, LA 71111-7933
Phone: (318) 268-4608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1871108456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2020 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
| Mailing address | 559 Chinquipin Dr, Bossier City, LA 71111-5176 |
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