JAVLYN DICKSON WEAVER

MOUNTAIN HOME, ID
NPI1528774932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12989329-1206)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
JAVLYN DICKSON WEAVER PA
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-587-8401
Mailing Address
JAVLYN DICKSON WEAVER PA
780 S 2075 W
CEDAR CITY, UT 84720-1921
Phone number: 435-463-5285