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Individual

GAITININA WITHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10487 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-5530
(916) 294-9180
Mailing address
1050 PERAZZO CIR, FOLSOM, CA 95630-7667
(916) 705-3271

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
825795
CA
163WS0200X
School Registered Nurse
Primary
825795
CA

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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