Individual
KEVIN DEXTER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 TRINIDAD AVE NE, WASHINGTON, DC 20002-2812
(202) 399-6698
Mailing address
4219 EADS ST NE, WASHINGTON, DC 20019-3440
(202) 415-4987
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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