Individual
LILY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4555 PRECISSI LN, STOCKTON, CA 95207-6239
(209) 477-4103
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95017435
CA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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