Elena Virginia Weaver
NPI #1205308962 in Banning, California
Provider Information
- NPI Number
- 1205308962
- Entity Type
- Individual
- Name
- Elena Virginia Weaver
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Dec 19, 2018
Practice Location
- Address
- 11555 1/2 POTRERO RD
- City
- Banning
- State
- California
- ZIP Code
- 92220-6946
- Phone
- (951) 849-4761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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