Individual
MR. JIM WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
5379 CA-49, MARIPOSA, CA 95338
(209) 966-3616
Mailing address
5300 HWY 49 NORTH, MARIPOSA, CA 95338
(209) 347-6860
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P23299
CA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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