Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4190 | OH |
NPI | 1003109356 |
---|---|
Provider Name | Dr. Amanda Eva Weeks |
First Address | Richfield, OH 44286-9548 |
Second Address | Richfield, OH 44286-9548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2011 |
Last Update Date | 26/04/2018 |