THEODORE RISOS

CHARLESTON, WV
NPI1588551071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  123526)
Enumeration Date2025-06-18
Last Update Date2025-06-30
Business Address
THEODORE RISOS
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
Mailing Address
THEODORE RISOS
120 WILLADINE DR
CHARLESTON, WV 25311-8375
Phone number: 240-750-7094
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