Individual
MICHELLE RENAE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4700 COLLEGE OAK DR, SACRAMENTO, CA 95841-4217
(916) 484-8976
Mailing address
3320 RIO ROCA CT, ANTELOPE, CA 95843-4962
(916) 205-4237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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