Individual
MS. ANTWONETTE MIRIAM WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 GILMORE ST, WAYCROSS, GA 31501-2147
(706) 386-7506
Mailing address
1005 GILMORE ST, WAYCROSS, GA 31501-2147
(706) 386-7506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/12/2024
Last updated
11/04/2024
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