Individual
ANGELA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9377
(928) 330-3704
(928) 330-3707
Mailing address
4747 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9377
(928) 330-3704
(928) 330-3707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015632
AZ
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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