Individual
BARBARA R WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3737 MORAGA AVE STE A305, SAN DIEGO, CA 92117-5465
(858) 454-9771
(858) 454-9785
Mailing address
3737 MORAGA AVE STE A305, SAN DIEGO, CA 92117-5465
(858) 454-9771
(858) 454-9785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
403579
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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