Provider Information for 1134681828
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SHARMAINE WHITTEN M.A.
Sex: Female
NPI: 1134681828
Last Updated: 2023-12-07
Certification Date: 2023-12-07
Certification Date: 2023-12-07
Details
| Name | Value | ||||||||||||||||
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| NPI | 1134681828 | ||||||||||||||||
| Enumeration Date | 2019-04-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2071 HERNDON AVE CLOVIS, CA 93611-6101 United States Phone: 559-481-1680 | Fax: | ||||||||||||||||
| Primary Practice Address | 6051 N FRESNO ST STE 201 FRESNO, CA 93710-5280 United States Phone: 559-481-1680 | Fax: | ||||||||||||||||
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