Individual
STEVEN BLAKE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 21ST ST, SUITE 205, SACRAMENTO, CA 95811-5220
(916) 441-0123
Mailing address
8515 DAIMLER WAY, SACRAMENTO, CA 95828-5860
(191) 662-8746
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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