Individual
BAMBI WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PINE DR, INTERLACHEN, FL 32148-5745
(386) 684-4523
Mailing address
121 PINE DR, INTERLACHEN, FL 32148-5745
(386) 684-4523
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
W560-077-58-878-0
FL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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