Individual
DR. AMANDA TENCZA WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 3800, SACRAMENTO, CA 95817-2307
(916) 734-7353
(916) 734-7904
Mailing address
4860 Y ST STE 3800, SACRAMENTO, CA 95817-2307
(916) 734-7353
(916) 734-7904
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
35127570
OH
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A114996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7311323
—
OH
Enumeration date
10/07/2009
Last updated
10/26/2021
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