Individual
JODI ALLISON WEAKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3465 NAZARETH RD STE 102, EASTON, PA 18045-8359
(610) 330-2630
Mailing address
633 CHRISTMAN RD, KUTZTOWN, PA 19530-9243
(484) 256-0301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060852
PA
Other
Enumeration date
09/13/2019
Last updated
09/08/2022
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