Individual
MS. ANITA WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901-2142
(415) 459-5999
Mailing address
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901-2142
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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