Individual
MRS. MICHELLE ANN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 ALBERT RD, POCASSET, MA 02559-2233
(508) 564-6712
(508) 564-6712
Mailing address
9 ALBERT RD, POCASSET, MA 02559-2233
(508) 564-6712
(508) 564-6712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88578
MA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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