Twin States Family Care Center

NPI 1003907676 - Family Medicine - 207Q00000X

NPI Details
NPI 1003907676
Enumeration Date 09/27/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name REYNALDO REYNALDO
Position OWNER
Phone (304) 248-8096
Fax (304) 248-8096
Practice Location
HIGHWAY 102
WOLFE WV, 24751, US
Phone (304) 248-8096
Fax (304) 248-8096
Business Location
PO BOX 19
NEMOURS WV, 24738-0019, US
Phone (304) 248-8096
Fax (304) 248-8096
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 11738WV
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According to our database, Twin States Family Care Center NPI is 1003907676, taxonomy code is 207Q00000X and license number is 11738WV, license state is located at West Virginia. Twin States Family Care Center physically located at Highway 102, Wolfe WV, 24751. NPI Number 1033115704 has the healthcare provider type.

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1003907676 NPI number is provided on an as is basis without warranty of any kind. 1003907676 is maintained by the National Plan & Provider Enumeration System. The contents of Twin States Family Care Center are for informational purposes only.