MA THERESA CONCEPCION BAUTISTA

CHARLESTON, WV
NPI1780973792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WV  25853)
Enumeration Date2011-03-30
Last Update Date2015-11-24
Business Address
-- MA THERESA CONCEPCION BAUTISTA MD
501 MORRIS ST 3 WEST ADMINISTRATION
CHARLESTON, WV 25301-1326
Phone number: 304-388-3574
Mailing Address
-- MA THERESA CONCEPCION BAUTISTA MD
501 MORRIS ST STE 357
CHARLESTON, WV 25301-1326
Phone number: 304-388-3574
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