Individual
AMANDA WEABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17124 110TH AVE SE, YELM, WA 98597-8333
(360) 210-9577
Mailing address
17124 110TH AVE SE, YELM, WA 98597-8333
(360) 210-9577
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61225546
WA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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