Individual
ANYLA LATRICE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 GREENVILLE BLVD NE APT 304A, GREENVILLE, NC 27858-4164
(252) 209-4174
Mailing address
2201 GREENVILLE BLVD NE APT 304A, GREENVILLE, NC 27858-4164
(252) 209-4174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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