Individual
JARRED DALTON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 287-7044
Mailing address
6129 KERRY AVE, CHEYENNE, WY 82009-3513
(307) 287-7044
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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