Individual
MARY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
20498 W WALTON DR, BUCKEYE, AZ 85396-3526
(910) 386-6634
Mailing address
20498 W WALTON DR, BUCKEYE, AZ 85396-3526
(910) 386-6634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232648
AZ
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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