Individual
ALFIE MARIE WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
569 STEWART AVE, COLUMBUS, OH 43206-2867
(614) 212-0843
Mailing address
569 STEWART AVE, COLUMBUS, OH 43206-2867
(614) 212-0843
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
32004720795
OH
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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