IndividualActive
Janean White, ELECTROLOGIST
NPI 1124788153 · Technician · Pocatello, ID
Provider details
- NPI number
- 1124788153
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Credential
- ELECTROLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- EEI232029 (ID)
Specialties & taxonomies
Nursing Service Related Providers
Eye and Vision Services Providers
Practice location
200 S Main St
Pocatello, ID 83204-3261
Phone: (208) 251-7289
Approximate (ZIP-level) locationGet directions
Mailing address
4959 Rebecca Dr
Chubbuck, ID 83202-1666
Registry dates
- Enumerated
- 2021-12-17
- Last updated
- 2021-12-17
- Certified
- 2021-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.