Individual
VENIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 S REDWOOD RD UNIT 6B, TAYLORSVILLE, UT 84123-5495
(801) 694-4104
(801) 905-1161
Mailing address
770 W 3940 S # EW11, SALT LAKE CITY, UT 84123-5757
(801) 694-4104
(801) 905-1161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
379328-3503
UT
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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