Dawn Weaver
Technician, Other in East Moriches, NY. Individual provider (NPI-1).
NPI number1710057765
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710057765
- Entity type
- Individual (NPI-1)
- Name
- Dawn Weaver
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
100 Moriches Island RdEast Moriches, NY 11940-1315
Phone 631-395-4435 · Fax 631-395-4486
Mailing address
100 Moriches Island RdEast Moriches, NY 11940
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