Individual
MS. MONALIZA L. WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28612 226TH AVE SE, MAPLE VALLEY, WA 98038-3337
(206) 595-6313
Mailing address
28612 226TH AVE SE, MAPLE VALLEY, WA 98038-3337
(206) 595-6313
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057021
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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