Individual
TINA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
Mailing address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2043
WV
Other
Enumeration date
02/19/2017
Last updated
03/18/2017
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