Individual
DORIS WHITTLESEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Mailing address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14565
CA
Other
Enumeration date
01/31/2007
Last updated
04/14/2011
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