Individual
KATHY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
135741
NC
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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