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Dr. Taresa Mae Whittenburg, DC
Chiropractor in Modesto, California
NPI 1316023914

Taresa Mae Whittenburg is a Chiropractor based in Modesto, CA. Taresa Mae Whittenburg practices in Modesto, CA and has the professional credentials of DC. The NPI Number for Taresa Mae Whittenburg is 1316023914 and holds a License No. 20036 (California).

The current practice location address for Taresa Mae Whittenburg is 1012 Carver Road, Modesto, CA and can be reached out via phone at 209-549-2215 and via fax at 209-549-2216.

Location: 1012 Carver Road, Modesto, CA, 95350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316023914
Provider Name
Taresa Mae Whittenburg
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1012 Carver Road, Modesto, CA, 95350
Phone Number
209-549-2215
Fax Number
209-549-2216
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20036 01 CA LIC
BDC000520 05 CA
institution
Provider Business Practice Location Address Details
Address
1012 Carver Road
City
Modesto
State
California
Zip
95350
Phone Number
209-549-2215
Fax Number
209-549-2216
person
Provider Business Mailing Address Details
Address
1012 Carver Road
City
Modesto
State
California
Zip
95350
Phone Number
209-549-2215
Fax Number
209-549-2216
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
20036 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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