Individual
LAUREL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1825 4TH ST # 6, SAN FRANCISCO, CA 94143-2350
(510) 585-5501
Mailing address
2813 EUCLID AVE, RICHMOND, CA 94804-1915
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86324840
CA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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