| Organization Name: | WILFREDO N. MOLANO MDSC INC |
| NPI Number: | 1144317082 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILFREDO NAVA MOLANO (PHYSICIAN/ADMINISTRATOR) |
| Mailing Address: | 2733 Main St Hurricane |
| State: | WV US |
| Postal Code: | 255261420 |
| Phone Number: | 3045623331 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 10473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |