Individual
VICTORIA EISENTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 COMMERCE DR STE 208, MORGANTOWN, WV 26501-3858
(304) 285-5500
Mailing address
460 DAWSON RD, MORGANTOWN, WV 26501-7864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41185
WV
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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