Individual
ANNE WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 THALIA ST, LAGUNA BEACH, CA 92651-2713
(949) 482-9699
Mailing address
333 THALIA ST, LAGUNA BEACH, CA 92651-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009793
CA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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