Individual
HALEY ELISE WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 NIELSON ST, WATSONVILLE, CA 95076-2468
(831) 724-4741
Mailing address
822 NEVADA AVE, SAN JOSE, CA 95125-2432
(408) 838-8744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
363AM0700X
CA
363A00000X
Physician Assistant
Primary
62860
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
07/27/2023
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