Individual
JOHNATHAN NOEL WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
439 SW MICHIGAN ST., MERIDIAN HEALTH, LAKE CITY, FL 32025
(386) 487-0800
Mailing address
18850 B F FINLEY CIR, GLEN ST MARY, FL 32040-5674
(904) 755-2740
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 296175
FL
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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