Individual
LISA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
19856 DEEP HARBOR DR, HUNTINGTON BEACH, CA 92648-3054
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1883
CA
Other
Enumeration date
02/05/2010
Last updated
11/29/2021
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