Search › Arizona › 163WC1500X
Katanya Weaver
NPI 1023606571 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12624 N 58th Dr
Glendale, AZ 85304 - Phone
- (314) 718-2790
Registry record
- Primary taxonomy
- 163WC1500X
163WC1500X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona