Corlandra Lacrystal Weaver

NPI #1720799455 in Tuscaloosa, Alabama

Provider Information

NPI Number: 1720799455
Entity Type: Individual
Name: Corlandra Lacrystal Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Non-emergency Medical Transport (VAN)
Enumeration Date: Dec 13, 2022
Last Updated: Dec 13, 2022

Practice Location

Address: 2428 6TH ST E
City: Tuscaloosa
State: Alabama
ZIP Code: 35404-3114
Phone: (205) 887-0799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X
Non-emergency Medical Transport (VAN)	343900000X	Primary

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