Individual
MRS. MARY BAKER WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6455 MACHINE ST BLDG 2501, ABERDEEN PROVING GROUND, MD 21005-5213
(410) 278-7670
(877) 811-2184
Mailing address
BLDG 1075 STEPHENSON AVE FT. MONMOUTH, FT. MONMOUTH, NJ 07703
(732) 532-1352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN045292
GA
Other
Enumeration date
11/10/2005
Last updated
04/07/2025
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