Individual
MISS TAMARA DENISE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2363 HAVENBROOK CT, TALLAHASSEE, FL 32303-3780
(850) 445-5527
Mailing address
2363 HAVENBROOK CT, TALLAHASSEE, FL 32303-3780
(850) 445-5527
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/22/2019
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