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Individual

DR. DALEANOR WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
720 MEADOW HEATH LN, DALLAS, TX 75232-2036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
55780
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
55780
TX

Other

Enumeration date
09/12/2014
Last updated
12/05/2019
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