Individual
MARY LEE WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1501A S BON VIEW AVE, ONTARIO, CA 91761-4408
(909) 673-9125
(909) 673-1676
Mailing address
12856 HOMERIDGE LN, CHINO HILLS, CA 91709-1047
(909) 673-9125
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
334831
CA
Other
Enumeration date
05/09/2006
Last updated
10/05/2011
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