Individual
MICHELE WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 CREEKSIDE DR APT 1055, WALNUT CREEK, CA 94596-5692
(707) 373-2578
Mailing address
1449 CREEKSIDE DR APT 1055, WALNUT CREEK, CA 94596-5692
(707) 373-2578
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
664103
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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