Provider Demographics
NPI:1639295629
Name:WEIR, IRIT D (LAC, MS)
Entity type:Individual
Prefix:DR
First Name:IRIT
Middle Name:D
Last Name:WEIR
Suffix:
Gender:F
Credentials:LAC, MS
Other - Prefix:
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Mailing Address - Street 1:1011 PROFESSIONAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6413
Mailing Address - Country:US
Mailing Address - Phone:707-226-8724
Mailing Address - Fax:707-226-9470
Practice Address - Street 1:1011 PROFESSIONAL DR STE A
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6413
Practice Address - Country:US
Practice Address - Phone:707-226-8724
Practice Address - Fax:707-226-9470
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3166171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist