Provider Demographics
NPI:1831590744
Name:WEIMER-HODES, CORA (MS)
Entity type:Individual
Prefix:MS
First Name:CORA
Middle Name:
Last Name:WEIMER-HODES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 E HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-3636
Mailing Address - Country:US
Mailing Address - Phone:800-426-6467
Mailing Address - Fax:
Practice Address - Street 1:4033 TALBOT RD S STE 470
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5700
Practice Address - Country:US
Practice Address - Phone:425-690-3677
Practice Address - Fax:425-690-9677
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGP 60496464170300000X
WAGT60728195170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS