Individual
MS. LAURA E POTESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3660
(681) 342-3698
Mailing address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3660
(681) 342-3698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA07575
TX
363AM0700X
Medical Physician Assistant
Primary
01698
WV
Other
Enumeration date
03/13/2012
Last updated
07/21/2022
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