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NPI Code Detail

MEDICARE: PATRICIA REITER WHATLEY

MEDICARE:   PATRICIA  REITER WHATLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1093572356
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA REITER WHATLEY
Provider Business Mailing Address
First Line : 1007 EMBURY ST
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-2502
Country : US
Telephone Number : 310-739-8610
Fax Number :
Provider Business Practice Location Address
First Line : 1007 EMBURY ST
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-2502
Country : US
Telephone Number : 310-739-8610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2024
Last Update Date : 03/04/2024

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Directions to “ PATRICIA REITER WHATLEY ” Practice Location

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