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Elena Virginia Weaver
Driver in Banning, California
NPI 1205308962

Elena Virginia Weaver is a Driver based in Banning, CA. Elena Virginia Weaver practices in Banning, CA. The NPI Number for Elena Virginia Weaver is 1205308962 and holds a License No. D9467848 (California).

The current practice location address for Elena Virginia Weaver is 11555 1/2 Potrero Rd, Banning, CA and can be reached out via phone at 951-849-4761.

Location: 11555 1/2 Potrero Rd, Banning, CA, 92220-6946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205308962
Provider Name
Elena Virginia Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
11555 1/2 Potrero Rd, Banning, CA, 92220-6946
Phone Number
951-849-4761
Fax Number
Provider Enumeration Date
12/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11555 1/2 Potrero Rd
City
Banning
State
California
Zip
92220-6946
Phone Number
951-849-4761
Fax Number
person
Provider Business Mailing Address Details
Address
11555 1/2 Potrero Rd
City
Banning
State
California
Zip
92220-6946
Phone Number
951-849-4761
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D9467848 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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