ISAAC WIDDICOMBE

SALEM, VA
NPI1376297846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024183589)
Enumeration Date2022-02-03
Last Update Date2022-02-03
Business Address
ISAAC WIDDICOMBE
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
ISAAC WIDDICOMBE
6402 RIDGEVIEW DR
ROANOKE, VA 24019-2338
Phone number: 971-506-2209