Individual
MRS. ANGELA NICHOLE WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 FAIRWAYS LOOKOUT APT A, CHESAPEAKE, VA 23320-1104
(410) 688-7513
Mailing address
1306 FAIRWAYS LOOKOUT APT A, CHESAPEAKE, VA 23320-1104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007302
VA
Other
Enumeration date
02/16/2020
Last updated
01/18/2021
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