Individual
LORETTA T WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3385 CAMERON CHASE DR, TALLAHASSEE, FL 32309-2897
(850) 933-8608
Mailing address
P O BOX 2224, LOVELAND, CO 32309-2897
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905587
CO
Other
Enumeration date
06/29/2008
Last updated
11/04/2016
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