| NPI | 1467220871 |
|---|---|
| Doing Business As | VICTORY DIABETES AND PRIMARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERARD SEBASTIAN Owner 304-551-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-09-05 |