ERNESTO MANUEL

LOGAN, WV
NPI1114981024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  14503)
Enumeration Date2006-04-17
Last Update Date2014-03-18
Business Address
-- ERNESTO MANUEL M.D.
396 DINGESS ST
LOGAN, WV 25601-3624
Phone number: 304-831-1700
Mailing Address
-- ERNESTO MANUEL M.D.
396 DINGESS ST
LOGAN, WV 25601-3624
Phone number: 304-831-1700