STACIA WEAVER

OMAHA, NE
NPI1669890406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  269)
Enumeration Date2014-03-30
Last Update Date2014-03-30
Business Address
-- STACIA WEAVER ATC
8329 WEBER ST
OMAHA, NE 68122-1364
Phone number: 402-650-7322
Mailing Address
-- STACIA WEAVER ATC
8329 WEBER ST
OMAHA, NE 68122-1364
Phone number: 402-650-7322
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