Individual
SHANTELLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 ANN WILSON RD, SEQUATCHIE, TN 37374-6060
(423) 713-8137
Mailing address
545 ANN WILSON RD, SEQUATCHIE, TN 37374-6060
(423) 713-8137
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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