WAYNE WEAVER

DAYTON, OH
NPI1942071410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  TY198277)
Enumeration Date2024-01-12
Last Update Date2024-01-12
Business Address
WAYNE WEAVER
119 INDIANOLA AVE
DAYTON, OH 45405-3538
Phone number: 937-718-1610
Mailing Address
WAYNE WEAVER
119 INDIANOLA AVE
DAYTON, OH 45405-3538
Phone number: 937-718-1610