Provider First Line Business Practice Location Address:
HEALTH SCIENCE CENTER SOUTH 6700
Provider Second Line Business Practice Location Address:
WVU SON NURSING FACULTY PRACTICE
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-293-6521
Provider Business Practice Location Address Fax Number:
304-293-6826
Provider Enumeration Date:
12/02/2006