NPI 1104992346
Diahann Johnson White, LVN
Practice location
- Address
- 1425 Porter St, Fort Detrick, MD 21702-9211
- Phone
- (301) 619-8485
- Mailing address
- 1807 Derrs CT, Frederick, MD 21701-2519
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1104992346
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.