Individual
DANISHA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 LEXINGTON AVE, DAYTON, OH 45402-5817
(937) 559-3146
Mailing address
709 LEXINGTON AVE, DAYTON, OH 45402-5817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148867
OH
Other
Enumeration date
02/19/2015
Last updated
05/18/2015
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