Individual
HALLARYN WEIDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4747 GLENN LODGE RD, MENTOR, OH 44060-1324
(440) 488-9576
Mailing address
4747 GLENN LODGE RD, MENTOR, OH 44060-1324
(440) 488-9576
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
401163541110
OH
376K00000X
Nurse's Aide
401163541110
OH
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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