Individual
DR. DIANNE MARIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
1919 5TH ST, SUITE N, SANTA FE, NM 87505-5402
(505) 699-6468
Mailing address
996 CALLE KATARINA, SANTA FE, NM 87507-5008
(505) 424-3087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
884
NM
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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