SearchCalifornia101YM0800X

Laskietd White

NPI 1912627118 · on the registry since 2022 · sole proprietor

Practice

Address
Victor Community Support Services 302 Cherry Ln
Suite101
Manteca, CA 95203
Phone
(209) 647-6200

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-30

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