Individual
CHRISTY A WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12943 FRYSINGER ROAD, ROCKFORD, OH 45882
(419) 584-8768
Mailing address
12943 FRYSINGER ROAD, ROCKFORD, OH 45882
(419) 584-8768
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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