Individual
MISS JESSICA ELENA KIRKWOOD WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
N9215 130TH ST, DOWNING, WI 54734-9480
(715) 308-9540
Mailing address
PO BOX 222, BOYCEVILLE, WI 54725-0222
(715) 308-9540
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
129-49
WI
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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