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KESHIA LATRELL WHITTAKER-RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 791-0820
Mailing address
11595 WALKER SPRINGS RD, GAINESTOWN, AL 36540-3075
(251) 589-8216

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1-106025
AL

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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