Provider Demographics
NPI:1366539249
Name:WEBBER, VALERI LYNN (LM)
Entity type:Individual
Prefix:
First Name:VALERI
Middle Name:LYNN
Last Name:WEBBER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 ARDMORE WAY
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2001
Mailing Address - Country:US
Mailing Address - Phone:707-745-5943
Mailing Address - Fax:707-745-5943
Practice Address - Street 1:123 ARDMORE WAY
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2001
Practice Address - Country:US
Practice Address - Phone:707-745-5943
Practice Address - Fax:707-745-5943
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM154176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife