Individual
JAYME LYNN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 CR 192, MORAN, TX 76464
(501) 499-0047
Mailing address
389 CR 192, MORAN, TX 76464
(501) 499-0047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R072363
AR
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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