Individual
MISS RENA WHITHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9261 FOLSOM BLVD, SACRAMENTO, CA 95826-2561
(916) 854-4552
Mailing address
3225 KENTFIELD DR, SACRAMENTO, CA 95821-6301
(916) 854-4552
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
VN179212
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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