AMANDA STEVENS WEAVIL

SOUTH LAKE TAHOE, CA
NPI1841592037
Former NameAMANDA LYNN STEVENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  A123236)
Enumeration Date2010-11-22
Last Update Date2014-07-16
Business Address
Dr. AMANDA STEVENS WEAVIL MD
2175 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7024
Phone number: 530-543-5711
Mailing Address
Dr. AMANDA STEVENS WEAVIL MD
1111 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-543-5659
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