Individual
CIERA WEASENFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CROSS BOW ST LOT D, KEYSER, WV 26726-1555
(301) 707-6142
Mailing address
8 CROSS BOW ST LOT D, KEYSER, WV 26726-1555
(301) 707-6142
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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