Individual
JENNIFER SHANE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9515 SOUTHERN CROSS LN, BURKE, VA 22015-4520
(571) 278-8467
Mailing address
9515 SOUTHERN CROSS LN, BURKE, VA 22015-4520
(571) 278-8467
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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