Individual
ANA ISABEL GOMEZ VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
64 MEDICAL CENTER DR., ROOM 4601, MORGANTOWN, WV 26505
(304) 293-1621
(304) 293-2925
Mailing address
216 SHERWOOD ST, STAR CITY, WV 26505-3118
(304) 413-6186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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