Individual
KATELYN MARIE WHITTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 TREMONT ST, MANASSAS PARK, VA 20111-1800
(703) 993-5880
Mailing address
13910 REMBRANDT WAY, CHANTILLY, VA 20151-3266
(202) 441-3249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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