Individual
DESIREE L WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
270 KENY BLVD, LONDON, OH 43140-9040
(740) 852-5701
(740) 845-1279
Mailing address
2055 OLD COLUMBUS RD, LONDON, OH 43140-8608
(161) 498-9306
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.277049
OH
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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