Individual
EMILY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(248) 514-0808
Mailing address
559 GOLF VIEW BLVD, BIRMINGHAM, MI 48009-4431
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/21/2022
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