ENRIQUE COLLANTES STA. ANA

HURRICANE, WV
NPI1295840593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  11628)
Enumeration Date2006-08-20
Last Update Date2015-05-29
Business Address
Dr. ENRIQUE COLLANTES STA. ANA M.D.
1100 HOSPITAL DR
HURRICANE, WV 25526-8712
Phone number: 304-757-8683
Mailing Address
Dr. ENRIQUE COLLANTES STA. ANA M.D.
2585 3RD AVE
HUNTINGTON, WV 25703-1642
Phone number: 304-697-1396