Dereca Marisa Whatley, STNA

NPI #1194185066 in Campbell, Ohio

Provider Information

NPI Number: 1194185066
Entity Type: Individual
Name: Dereca Marisa Whatley, STNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Credential: STNA
Enumeration Date: Mar 4, 2016
Last Updated: Mar 4, 2016

Practice Location

Address: 516 DEVITT AVE
City: Campbell
State: Ohio
ZIP Code: 44405-1517
Phone: (330) 942-1046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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