Individual
MRS. MARINA CASANOVA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1197 VAN VOORHIS RD, MORGANTOWN, WV 26505-3478
(304) 599-9400
Mailing address
1197 VAN VOORHIS RD, MORGANTOWN, WV 26505-3478
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
85359
WV
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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