Individual
ANAIA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16502 CASA GRANDE AVE UNIT 103, FONTANA, CA 92336-6103
(951) 520-3789
Mailing address
16502 CASA GRANDE AVE UNIT 103, FONTANA, CA 92336-6103
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95026538
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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