Individual
DUSTIN DALE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 48TH ST., SACRAMENTO, CA 95817, SACRAMENTO, CA 95817
(916) 734-2145
Mailing address
5644 SEEDLING WAY, MARYSVILLE, CA 95901-8365
(916) 813-4506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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