Individual
MS. EMMA J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CENA
Contact information
Practice address
835 HOLDEN ST, DETROIT, MI 48202-3432
(313) 262-6393
Mailing address
835 HOLDEN ST, DETROIT, MI 48202-3432
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230014651460609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230014651460609
MICHIGAN
—
Enumeration date
07/12/2012
Last updated
07/12/2012
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