SHANE WHITAKER

LOS ANGELES, CA
NPI1063225472
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-01-29
Last Update Date2025-02-27
Business Address
SHANE WHITAKER
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-860-3756
Mailing Address
SHANE WHITAKER
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7500