Individual
MS. RUBINA K DASILVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Mailing address
1322 LOCUST AVE, PO BOX 1112, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
887
WV
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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