Justin Lee Weaver, PROVIDER
Justin Lee Weaver, PROVIDER is a Personal Care Attendant in Fairfield, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
904 Orchardglow CloseFairfield, OH 45014-3164
Phone: (513) 600-9170
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Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1710694799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 31, 2022 |
| Mailing address | 904 Orchardglow Close, Fairfield, OH 45014-3164 |
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