Individual
MRS. DIANE C. WHIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5950
Mailing address
5143 BRITTEN LN, ELLICOTT CITY, MD 21043-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001798
MD
Other
Enumeration date
01/24/2007
Last updated
05/14/2013
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