Individual
IMARA NYERE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 878-8248
Mailing address
809 MAC LN SE, OLYMPIA, WA 98513-7742
(360) 842-6217
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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