Individual
MRS. DERENDA DENISE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 ROCKY ACRES RD., CEDAR HILL, TX 75104
(469) 272-9699
Mailing address
2920 SAND DOLLAR CT, CEDAR HILL, TX 75104
(972) 293-2828
(972) 293-2828
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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