Individual
STACY ELEANOR WHITELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2141 N HARBOR BLVD, SUITE 25000, FULLERTON, CA 92835-3827
(714) 626-8650
(714) 626-8696
Mailing address
2141 N HARBOR BLVD STE 25000, FULLERTON, CA 92835-3830
(714) 626-8650
(714) 626-8696
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
A84206
CA
Other
Enumeration date
03/07/2007
Last updated
12/21/2021
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