Individual
DESTINY JINIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
9935 BUTTERNUT CIR N, BROOKLYN PARK, MN 55443-1845
(612) 203-3201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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