Individual
STEPHANIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5528 COUNTY ROAD 874, CUSHING, TX 75760-5186
(936) 234-2955
Mailing address
5528 COUNTY ROAD 874, CUSHING, TX 75760-5186
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
801846
TX
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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