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Search › Pennsylvania › 171100000X

Jessica Weaver

NPI 1912572322 · on the registry since 2021 · sole proprietor

Practice

Address
255 S 17th St Ste 1502
Philadelphia, PA 19103
Phone
(215) 617-4134
Organisation at this address
Mtp Rx Llc
Mtp Rx Llc
Indlovu, Llc
Leeor Gal Llc
Kyra Sjarif Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
274

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-26

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 Pennsylvania