DALE ALAN WHITAKER

ORANGE PARK, FL
NPI1124720776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
DALE ALAN WHITAKER
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2112
Mailing Address
DALE ALAN WHITAKER
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2112