Most Relevant Information
Provider Data
| NPI Number: | 1003266578 |
| Provider Name: | AVIAN WEISWERDA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 79694 |
Most Important Dates
| Enumeration Date: | 06/15/2016 |
| Last Updated: | 07/30/2021 |
Provider Practice Location
849 E 6TH ST
LOS ANGELES
CA
900211026
Practice Location Phone/Fax
| Phone: | 2136238446 |
| Fax: |
Provider Mailing Location
849 E 6TH ST
LOS ANGELES
CA
900211026
Provider Mailing Phone/Fax
| Phone: | 2136238446 |
| Fax: |