Individual
WES WHALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHN
Contact information
Practice address
899 NORTHGATE DR, SUITE 100, SAN RAFAEL, CA 94903-3636
(415) 473-6350
(415) 473-6881
Mailing address
899 NORTHGATE DR, SUITE 100, SAN RAFAEL, CA 94903-3636
(415) 473-6350
(415) 473-6881
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
431310
CA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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