Individual
GERALDA A WHITTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E QUEEN ISABELLA STE E, PORT ISABEL, TX 78578-2407
(956) 579-4002
Mailing address
226 W HOUSTON ST APT 212, PORT ISABEL, TX 78578-2948
(956) 579-4002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90308
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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