Individual
JESSICA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S 17TH ST STE 1502, PHILADELPHIA, PA 19103-6215
(215) 617-4134
Mailing address
255 S 17TH ST STE 1502, PHILADELPHIA, PA 19103-6215
(215) 617-4134
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001277
PA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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