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STEPHANIE WHITAKER

Home Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1003315748

Individual Registrant:
 STEPHANIE  WHITAKER 
Gender: F
Sole Proprietor

Location and contact information for practice:
5528 COUNTY ROAD 874  CUSHING, TX 75760-5186 US
Tel: 936-234-2955  Fax: --

Contact information for business:
5528 COUNTY ROAD 874  CUSHING, TX 75760-5186 US
Tel: --  Fax: --

Registration Information:
NPI: 1003315748
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WH0200XNursing Service Providers
Registered Nurse
Home Health
TX801846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TX - Page 1



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