Individual
CARRIE J WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN, MPH
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 642-2000
(510) 643-2997
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 642-2000
(510) 643-2997
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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