Individual
MS. PRISCILLA ANN WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
12577 SW 14TH ST, DAVIE, FL 33325-4411
(954) 817-3375
(954) 475-4023
Mailing address
12577 SOUTHWEST 14TH STREET, DAVIE, FL 33325
(954) 817-3375
(954) 475-4023
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PT1853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1853
RPT LICENSE
FL
Enumeration date
11/21/2008
Last updated
11/21/2008
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