Individual
CHELSI WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 LAINE AVE, SANTA CLARA, CA 95051-3011
(408) 595-7887
Mailing address
1723 LAINE AVE, SANTA CLARA, CA 95051-3011
(408) 595-7887
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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