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Individual

MR. DALE FRANK WEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
(707) 254-1779
Mailing address
2147 S TERRACE DR, NAPA, CA 94559-4108
(707) 251-2021
(707) 257-7721

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
435986
CA

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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