Individual
MR. MARK WEISENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4785 W VISTA DR, HIGHLAND, UT 84003-9585
(801) 358-6106
Mailing address
4785 W VISTA DR, HIGHLAND, UT 84003-9585
(801) 358-6106
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/29/2025
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