Most Relevant Information
Provider Data
| NPI Number: | 1003675224 |
| Provider Name: | VICTORIA WHITAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2024 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
1419 SALT SPRINGS RD DEPT OF
SYRACUSE
NY
132141300
Practice Location Phone/Fax
| Phone: | 8605594471 |
| Fax: |
Provider Mailing Location
179 GRISWOLD RD
WETHERSFIELD
CT
061093624
Provider Mailing Phone/Fax
| Phone: | 8605594471 |
| Fax: |