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Corlandra Weaver

NPI 1720799455 · on the registry since 2022 · sole proprietor

Practice

Address
2428 6th St E
Tuscaloosa, AL 35404
Phone
(205) 887-0799

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
172A00000X
246RP1900X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-13

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 Alabama