Individual
MELINIE M WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, MMP
Contact information
Practice address
2811 S 74TH AVE, YAKIMA, WA 98903-9448
(571) 210-5708
Mailing address
2811 S 74TH AVE, YAKIMA, WA 98903-9448
(571) 210-5708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60246146
WA
Other
Enumeration date
09/08/2011
Last updated
01/04/2017
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