Individual
ESSENCE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-6281
Mailing address
11120 SCRIPPS RANCH BLVD APT 19, SAN DIEGO, CA 92131-2413
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9919
CA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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