Individual
MRS. ANITA J WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64129 NORTH JOHNSON ROAD, BETHESDA, OH 43719
(740) 338-0744
(740) 695-6502
Mailing address
64129 N JOHNSON RD, BETHESDA, OH 43719-9635
(740) 338-0744
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125-015
OH
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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