Search › California › 171M00000X
Dwayne White
NPI 1548979552 · on the registry since 2022
Practice
- Address
- 786 Brookhurst Blvd
Lathrop, CA 95330 - Phone
- (209) 983-8633
- Organisation at this address
- Lift Up Your Head Therapeutic Group Homes, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-17
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California