LUCILLE AMELIA WHITAKER

PISMO BEACH, CA
NPI1467731430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  348574)
Enumeration Date2011-08-09
Last Update Date2011-08-09
Business Address
Ms. LUCILLE AMELIA WHITAKER 11434
575 PRICE ST SUITE 313
PISMO BEACH, CA 93449-2553
Phone number: 805-201-9135
Mailing Address
Ms. LUCILLE AMELIA WHITAKER 11434
575 PRICE ST SUITE 313
PISMO BEACH, CA 93449-2553
Phone number: 805-201-9135
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