Individual
JANE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 EASTERLY PKWY STE 104, STATE COLLEGE, PA 16801-6300
(814) 360-8964
Mailing address
233 EASTERLY PKWY STE 104, STATE COLLEGE, PA 16801-6300
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000612
PA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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