Individual
CRISTINA G. ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 ELIZABETH PIKE, ELIZABETH, WV 26143
(304) 275-3301
(304) 275-4798
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16045
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106689000
—
WV
05
—
2389884
—
OH
Enumeration date
06/17/2005
Last updated
03/10/2008
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