Individual
NATHAN C WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 S EASTERN AVE, STE 200, LAS VEGAS, NV 89119-6137
(702) 457-7542
(702) 450-4239
Mailing address
5404 AVENT FERRY ST, ST, LAS VEGAS, NV 89148-4638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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