Individual
DESSALINES WEAVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3009 BURNET AVE, CINCINNATI, OH 45219-2419
(513) 751-7747
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1395
(513) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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