Individual
AMIA WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
2002 W AVENUE H8, LANCASTER, CA 93536-8369
(661) 860-0077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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