Individual
FIASILI FITISEMANU-BARTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, HUNTINGTON, WV 25701-3657
(304) 691-1100
(304) 691-1153
Mailing address
1448 10TH AVENUE, SUITE 304, HUNTINGTON, WV 25701-3579
(304) 691-6381
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-963
WV
Other
Enumeration date
07/25/2024
Last updated
04/30/2025
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