Individual
JEFFREY TYLER WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-7000
(619) 543-0000
Mailing address
720 CAMINO DE LA REINA, APT 114, SAN DIEGO, CA 92108-3236
(912) 326-1579
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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