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Individual

SHANNON WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10539 PROFESSIONAL CIR STE 200, RENO, NV 89521-3858
(775) 851-5700
(775) 515-4462
Mailing address
954 SOLARIUM DR, RENO, NV 89511-7309
(231) 313-6336

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NV

Other

Enumeration date
07/16/2019
Last updated
06/12/2026
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