Individual
KENTON WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PROGRESSIVE HOSPICE SERVICES, 11879 KEMPER ROAD SUITE #17, AUBURN, CA 95603
(530) 887-2143
Mailing address
11879 KEMPER RD STE 17, AUBURN, CA 95603-9021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
12/15/2021
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