Individual
TEANNA MARIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 STAFFORD WAY STE C, YUBA CITY, CA 95991-3333
(530) 671-4616
Mailing address
1095 STAFFORD WAY STE C, YUBA CITY, CA 95991-3333
(530) 671-4616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
942693
CA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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