Individual
ANGELA L WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 STUART DR, SOUTH EUCLID, OH 44121-3424
(440) 319-6238
Mailing address
880 STUART DR, SOUTH EUCLID, OH 44121-3424
(440) 319-6238
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
JJT2949
OH
347C00000X
Private Vehicle
JKH2764
OH
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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