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NPI Code Detail

MEDICARE: JEMILLA WHITE CBD, CPD

MEDICARE: JEMILLA WHITE CBD, CPD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1720644917
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEMILLA WHITE CBD, CPD
Provider Business Mailing Address
First Line : 3350 SHELBY ST STE 200 #1064
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 909-321-6678
Fax Number :
Provider Business Practice Location Address
First Line : 3350 SHELBY ST STE 200 #1064
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 909-321-6678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 12/31/2025

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Directions to “ JEMILLA WHITE CBD, CPD” Practice Location

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