Individual
EDITH VIRGINIA WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
23 SARACENO, NEWPORT COAST, CA 92657-1305
(949) 689-3941
Mailing address
23 SARACENO, NEWPORT COAST, CA 92657-1305
(949) 689-3941
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
4353
HI
246RM2200X
Medical Laboratory Technician
Primary
MTA 22170
CA
246RM2200X
Medical Laboratory Technician
TN38921
FL
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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