Individual
HANNAH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1052
(701) 333-8935
Mailing address
2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1052
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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