Individual
JENNY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
125 WEBSTER ST, ARLINGTON, MA 02474-3334
(781) 648-6958
Mailing address
125 WEBSTER ST, ARLINGTON, MA 02474-3334
(781) 648-6958
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN191250
MA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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