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Individual
JENNIFER MARIE WEISS
Active
Individual
JENNIFER MARIE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
5556
CA
363LA2100X
Acute Care Nurse Practitioner
71999
ID
363LG0600X
Gerontology Nurse Practitioner
Primary
71999
ID
Other
Enumeration date
05/23/2012
Last updated
02/01/2024
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