JACKIE DIANE WEAVER

ASTORIA, OR
NPI1588962898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
(Licence: OR  15713)
Enumeration Date2011-03-10
Last Update Date2011-03-10
Business Address
-- JACKIE DIANE WEAVER LMT
103 14TH ST # 2
ASTORIA, OR 97103-3973
Phone number: 503-791-9244
Mailing Address
-- JACKIE DIANE WEAVER LMT
PO BOX 854
ASTORIA, OR 97103-0854
Phone number: 503-791-9244
Similar providers in Astoria, OR
MELANIE ANN WYRWITZKE