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NPI Code Detail

MEDICARE: MS. VICKI RAE WHITE -DANLEY

MEDICARE: MS. VICKI RAE WHITE -DANLEY
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation SpecialistCA
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1881750057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICKI RAE WHITE -DANLEY
Provider Business Mailing Address
First Line : 10 DOUGLAS DR STE 140
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4078
Country : US
Telephone Number : 925-405-7138
Fax Number : 925-313-1142
Provider Business Practice Location Address
First Line : 10 DOUGLAS DR STE 140
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4078
Country : US
Telephone Number : 252-381-5569
Fax Number : 925-313-1142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 04/24/2025

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Directions to “ MS. VICKI RAE WHITE -DANLEY ” Practice Location

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