LETISIA J WEAVER

FORT WAYNE, IN
NPI1568648111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27058996A)
Enumeration Date2008-01-14
Last Update Date2008-01-14
Business Address
-- LETISIA J WEAVER LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- LETISIA J WEAVER LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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