Individual
KEISHA WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 CRYSTAL BELL ST, ORLANDO, FL 32824-5306
(347) 987-6776
Mailing address
2049 CRYSTAL BELL ST, ORLANDO, FL 32824-5306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
858159-01
NY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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