Isabelita T De Mesa MD

NPI 1073694949 - Family Medicine - 207Q00000X

NPI Details
NPI 1073694949
Gender Female
Enumeration Date 10/18/2006
Last Updated 01/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
RT 16 MAIN STREET
WAR WV, 24892-0459, US
Phone (304) 875-4724
Fax (304) 875-4724
Business Location
PO BOX 459 RT 16
MAIN STREET
WAR WV, 24892-0459, US
Phone (304) 875-4724
Fax (304) 875-4724
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 13434
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According to our database, Dr. Isabelita T De Mesa MD NPI is 1073694949, taxonomy code is 207Q00000X and license number is 13434, license state is located at West Virginia. Isabelita T De Mesa MD physically located at Rt 16 Main Street, War WV, 24892-0459. NPI Number Isabelita T De Mesa MD has the Individual type.

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1073694949 NPI number is provided on an as is basis without warranty of any kind. 1073694949 is maintained by the National Plan & Provider Enumeration System. The contents of Isabelita T De Mesa MD are for informational purposes only.