Individual
KATRINA LORAYNE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM24030425
Contact information
Practice address
46445 ABBEY AVE, BARING, MO 63531-4016
(660) 734-0523
Mailing address
46445 ABBEY AVE, BARING, MO 63531-4016
(660) 734-0523
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
24030425
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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