Individual
DENISSE D ARTEAGA ICAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 293-5042
(304) 293-4819
Mailing address
19204 NE 25TH AVE APT 314, MIAMI, FL 33180-3216
(786) 486-3965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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