Individual
CALI P WEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2396 TYLER AVE, BERKLEY, MI 48072-1241
(248) 367-3145
Mailing address
2396 TYLER AVE, BERKLEY, MI 48072-1241
(248) 367-3145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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