Individual
JESSICA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 PARAPET CT, CHESAPEAKE, VA 23323-2418
(757) 292-0926
Mailing address
1120 SIR GAWAINE DR, CHESAPEAKE, VA 23323-2835
(757) 292-0926
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCO-0005556
VA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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