Individual
CAROLAN HWA JA WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
NAVAL MEDICAL CENTER CAMP LEJUENE, 100 BREWSTER BLVD, CAMP LEJUENE, NC 28547-2575
(910) 450-4841
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1757
MN
363A00000X
Physician Assistant
Primary
51807
CA
Other
Enumeration date
05/12/2006
Last updated
04/06/2023
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