Individual
LATISHA L WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
572 BLOSSOM AVE, CAMPBELL, OH 44405-1430
(234) 275-7611
Mailing address
572 BLOSSOM AVE, CAMPBELL, OH 44405-1430
(234) 275-7611
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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