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MS. JACQUELINE LA BARBERA WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 875-9955
(916) 874-4401
Mailing address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 875-9955
(916) 874-4401

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
226605
CA

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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