Individual
MRS. DAMARIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1321 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2139
(772) 343-0179
(772) 800-2156
Mailing address
1321 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2139
(772) 343-0179
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH21123
FL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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