Individual
MRS. ETHYLN JOYCE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
569 W PUTNAM AVE, PORTERVILLE, CA 93257-3260
(559) 781-9301
(559) 782-7639
Mailing address
569 W. PUTNAM AVE, PORTERVILLE, CA 93257
(559) 781-9301
(559) 782-7639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7948
NP LICENSE NUMBER
CA
Enumeration date
02/09/2011
Last updated
02/09/2011
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