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Individual

MELANIE WEAVER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM, MSN

Contact information

Practice address
1270 ATTAKAPAS DR, STE 402, OPELOUSAS, LA 70570-6549
(337) 594-3915
Mailing address
PO BOX 1389, OPELOUSAS, LA 70571-1389
(337) 594-3915

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1565300
LA
Enumeration date
06/09/2005
Last updated
07/08/2007
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