Individual
SHARON KAY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MRT
Contact information
Practice address
1200 N WHITE SANDS BLVD, SUITE 110, ALAMOGORDO, NM 88310-6774
(575) 430-1557
Mailing address
1423 OHIO AVE, ALAMOGORDO, NM 88310-6656
(575) 430-1557
(575) 434-2413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/08/2012
Last updated
04/08/2012
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