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Desirae Weaver

NPI 1164311528 · on the registry since 2025 · sole proprietor

Practice

Address
430 Industrial Dr
Beckley, WV 25801
Phone
(304) 207-8362

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-07-01

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 West Virginia