Individual
EBONI WHISENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2800 NAGLEE RD, TRACY, CA 95304-7307
(209) 833-0072
Mailing address
107 W SAN FRANCISCO DR, MOUNTAIN HOUSE, CA 95391-8413
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH201556
CA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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