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Desirae Weatherby

NPI 1396488516 · on the registry since 2022

Practice

Address
830 E Hwy 88
Jackson, CA 95642
Phone
(209) 257-1501

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-15

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 California