MICHAEL MARSHALL WHITED

LOS ANGELES, CA
NPI1215253224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95005776)
Additional Taxonomies101YM0800X Counselor, Mental Health
163W00000X Registered Nurse
(Licence: NY  757022-1)
163W00000X Registered Nurse
(Licence: CA  95040852)
Enumeration Date2010-04-15
Last Update Date2023-07-19
Business Address
MICHAEL MARSHALL WHITED
954 N VERMONT AVE
LOS ANGELES, CA 90029-3529
Phone number: 562-867-7999
Mailing Address
MICHAEL MARSHALL WHITED
5650 JILLSON ST
COMMERCE, CA 90040-1482
Phone number: 562-867-7999