Individual
SAUDIA FATIMA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
489 5TH ST, GUSTINE, CA 95322-1514
(209) 854-3728
Mailing address
PO BOX 579174, MODESTO, CA 95357-9174
(209) 918-5482
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95022977
CA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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