Individual
TERESITA P DEJOSEF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 LAFAYETTE ST, SUITE 201, SAINT MARYS, WV 26170-1059
(304) 684-9409
(304) 684-2440
Mailing address
111 LAFAYETTE ST, SUITE 201, SAINT MARYS, WV 26170-1059
(304) 684-9409
(304) 684-2440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12410
WV
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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