Individual
AUDREY MARIE WEYAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LOS GAMOS DR, SAN RAFAEL, CA 94903-1806
(415) 444-7400
Mailing address
1600 LOS GAMOS DR, SAN RAFAEL, CA 94903-1806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
MA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
01/09/2023
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