Individual
YOHALMO ESAU ESCOBAR LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Mailing address
167 SPYGLASS DR, MARTINSBURG, WV 25403-1397
(703) 365-5811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104822
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F964955
APPLYING FOR FEDERAL JOB RN AT THE VA
WV
Enumeration date
09/25/2020
Last updated
09/25/2020
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