Latisha L Weaver

NPI #1508578329 in Campbell, Ohio

Provider Information

NPI Number: 1508578329
Entity Type: Individual
Name: Latisha L Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Dec 23, 2022
Last Updated: Dec 23, 2022

Practice Location

Address: 572 BLOSSOM AVE
City: Campbell
State: Ohio
ZIP Code: 44405-1430
Phone: (234) 275-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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