Individual
KRISTAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2824 W LOCUST ST, DAVENPORT, IA 52804-3340
(563) 326-8723
Mailing address
2224 NEWBERRY ST, DAVENPORT, IA 52804-4150
(563) 265-4552
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
IA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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