Individual
JASON THOMAS WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5417 E 28TH ST, TUCSON, AZ 85711-5827
(520) 247-9123
Mailing address
5417 E 28TH ST, TUCSON, AZ 85711-5827
(520) 247-9123
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000030249
AZ
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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