Individual
MALIA MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 BACHTEL ST SE, NORTH CANTON, OH 44720-3139
(234) 425-9450
Mailing address
248 BACHTEL ST SE, NORTH CANTON, OH 44720-3139
(234) 425-9450
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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