Individual
DAVID WEYMOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1745 W KETTLEMAN LN, SUITE A, LODI, CA 95242-9287
(209) 333-2259
(209) 333-0624
Mailing address
4583 PINE VALLEY CIR, STOCKTON, CA 95219-1871
(209) 474-2646
(209) 333-0624
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO1776
CA
Other
Enumeration date
12/11/2008
Last updated
03/13/2014
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