Individual
MRS. JODI NICOLE WHITEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
7224 NEW FOREST LN, WAKE FOREST, NC 27587-4988
(919) 761-1723
Mailing address
7224 NEW FOREST LN, WAKE FOREST, NC 27587-4988
(919) 761-1723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01-571705
VA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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