Individual
MS. JANICE CENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1146
(304) 647-3006
Mailing address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
168
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047
MTST BCBS
WV
Enumeration date
07/09/2006
Last updated
03/12/2009
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