Individual
DEANA MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 COUNTY ROAD 237, NACOGDOCHES, TX 75961-0343
(936) 554-6988
Mailing address
1030 COUNTY ROAD 237, NACOGDOCHES, TX 75961-0343
(936) 554-6988
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347302
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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