Individual
JENNA KATE WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
110 IRVING ST NW STE 6A-126, WASHINGTON, DC 20010-3017
(877) 772-6505
Mailing address
55 BYRD RD, MEBANE, NC 27302-7371
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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