Individual
VICTORIA ANN WOOLWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ROUTE 4 & 20 S. INTERSECTION, ROCK CAVE, WV 26234
(304) 924-6262
(304) 924-5460
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011341
—
WV
Enumeration date
09/18/2007
Last updated
03/22/2010
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