Individual
COTINA WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(832) 371-8166
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(832) 371-8166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95296076
CA
251J00000X
Nursing Care Agency
793245
TX
Other
Enumeration date
10/03/2019
Last updated
01/27/2024
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