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Jetta Whittaker

Case Manager/Care Coordinator in Juneau, AK. Individual provider (NPI-1).

NPI number1881925295
StatusActive
Last updated in NPPESJan 25, 2010

Details

NPI
1881925295
Entity type
Individual (NPI-1)
Name
Jetta Whittaker
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2010
Last updated
Jan 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

419 6th St
Juneau, AK 99801-1020

Phone 907-463-6156

Mailing address

419 6th St
Juneau, AK 99801-1020

Phone 907-463-6156

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