Individual
MS. CHARDILAINE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-4121
Mailing address
4130 WALNUT DR, EUREKA, CA 95503-6223
(209) 985-0019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021542
CA
Other
Enumeration date
08/09/2022
Last updated
06/28/2024
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