Individual
MRS. LOUVON WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 NASH ST W STE 121, WILSON, NC 27893-4012
(252) 885-8870
Mailing address
1847 S 1ST ST APT 32, NASHVILLE, NC 27856-8862
(252) 885-8870
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NC
Enumeration date
11/03/2021
Last updated
11/03/2021
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