Individual
MRS. BRIDEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95020131
CA
Other
Enumeration date
06/02/2022
Last updated
03/27/2024
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