Sandra Whitaker

NPI #1962882753 in Ivor, Virginia

Provider Information

NPI Number: 1962882753
Entity Type: Individual
Name: Sandra Whitaker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Jun 5, 2015
Last Updated: Jun 5, 2015

Practice Location

Address: 37465 GENERAL MAHONE BLVD
City: Ivor
State: Virginia
ZIP Code: 23866-3017
Phone: (757) 859-9431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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