MS. Lucille Amelia Whitaker, 11434

NPI #1467731430 in Pismo Beach, California

Provider Information

NPI Number
1467731430
Entity Type
Individual
Name
MS. Lucille Amelia Whitaker, 11434
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
11434
Enumeration Date
Aug 9, 2011
Last Updated
Aug 9, 2011

Practice Location

Address
575 PRICE ST
Address 2
SUITE 313
ZIP Code
93449-2553
Phone
(805) 201-9135

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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