Individual
LANA GAYLE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 VAUGHN RD, GAFFNEY, SC 29341-2863
(864) 206-6091
Mailing address
430 NATURES TRL, GAFFNEY, SC 29341-4836
(864) 812-0831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251049
SC
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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