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Justin Lee Weaver, provider

Technician, Personal Care Attendant in Fairfield, OH. Individual provider (NPI-1).

NPI number1710694799
StatusActive
Last updated in NPPESOct 31, 2022

Details

NPI
1710694799
Entity type
Individual (NPI-1)
Name
Justin Lee Weaver
Credential
provider
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 31, 2022
Certification date
Oct 31, 2022
Last updated
Oct 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

904 Orchardglow Close
Fairfield, OH 45014-3164

Phone 513-600-9170

Mailing address

904 Orchardglow Close
Fairfield, OH 45014-3164

Phone 513-600-9170

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Other Personal Care Attendant providers in Fairfield, OH

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