Individual
DOVIE MAE WHITTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HUDSON AVE APT 1A4, POUGHKEEPSIE, NY 12601-2137
(845) 518-9022
Mailing address
120 HUDSON AVE APT 1A4, POUGHKEEPSIE, NY 12601-2137
(845) 518-9022
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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