Individual
CHRISTINE MARIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
201 SAND CREEK RD STE G4, BRENTWOOD, CA 94513-2124
(925) 529-4790
Mailing address
248 HEIRLOOM AVE, LODI, CA 95242-9730
(209) 981-7407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP18820
CA
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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