Individual
MARIA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4989
(619) 296-1151
(619) 296-6218
Mailing address
2180 TREVI CIR, CHULA VISTA, CA 91913-3771
(619) 776-4608
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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