Individual
PRECILLA T FAMULARCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
141 MAIN STREET, SPENCER, WV 25276
(304) 927-5262
(304) 927-0379
Mailing address
141 MAIN STREET, SPENCER, WV 25276
(304) 927-5262
(304) 927-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11729
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049951000
—
WV
Enumeration date
03/24/2006
Last updated
09/02/2014
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