Individual
VICTORY WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 THIMBLE SHOALS BLVD, H-1, NEWPORT NEWS, VA 23606-3563
(757) 295-1289
Mailing address
751 THIMBLE SHOALS BLVD, H-1, NEWPORT NEWS, VA 23606-3563
(757) 295-1289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2830
VA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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