Individual
DESIRAE NICOLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
430 INDUSTRIAL DR, BECKLEY, WV 25801-8910
(304) 207-8362
Mailing address
430 INDUSTRIAL DR, BECKLEY, WV 25801-8910
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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