Individual
ERIKA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
323 W SHAW AVE, CLOVIS, CA 93612-3692
(559) 325-1898
(559) 325-0649
Mailing address
323 W SHAW AVE, CLOVIS, CA 93612-3692
(559) 325-1898
(559) 325-0649
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SLD43416
CA
Other
Enumeration date
08/06/2024
Last updated
08/14/2024
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