Individual
JOHNATHON WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 WILLARD ST UNIT 404, APT 404, QUINCY, MA 02169
(617) 981-5525
Mailing address
445 WILLARD ST UNIT 404, APT 404, QUINCY, MA 02169
(617) 981-5525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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