Individual
MS. MICHELLE RAE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
921 N BENTWOOD DR, APT B, MIDLAND, TX 79703-5689
(432) 553-3731
(432) 699-4699
Mailing address
921 N BENTWOOD DR, APT B, MIDLAND, TX 79703-5689
(432) 553-3731
(432) 699-4699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DTO7377
TX
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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