Individual
JANICE DARLENE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 W MAIN ST, GRAFTON, WV 26354-1027
(681) 209-3149
Mailing address
687 KILLARNEY DR APT E, MORGANTOWN, WV 26505-2447
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C214065
DMV
WV
Enumeration date
01/28/2021
Last updated
01/28/2021
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