Individual
SHANNON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7111 S VIRGINIA ST, RENO, NV 89511-1115
(775) 851-5700
Mailing address
924 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
09/15/2020
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