Individual
CHEYENNE WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 PINE HURST AVE, NARROWS, VA 24124-2407
(276) 521-2440
Mailing address
111 PINE HURST AVE, NARROWS, VA 24124-2407
(276) 521-2440
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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