Individual
MISS DONNA LUCIENNE WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
UNIT 26610, WURZHURG DENTAL, APO AE, NY 09244
(931) 804-3933
Mailing address
UNIT 26610, WURZHURG DENTAL, APO AE, NY 09244
(972) 570-9739
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10830 RDH
CA
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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