VICTORIA TAKUBO, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1194032227

Practice Address

4610 KANAWHA AVE SW STE 401
South Charleston, WV 25309

Phone: (304) 768-7368

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 01484 (WV)
Physician Assistant - Surgical 363AS0400X Yes 1484 (WV)

Frequently Asked Questions

NPI 1194032227 is the National Provider Identifier for VICTORIA TAKUBO, PA-C, a Physician Assistant - Surgical provider located in South Charleston, WV. This NPI was enumerated on September 10, 2010.
VICTORIA TAKUBO, PA-C practices at 4610 KANAWHA AVE SW STE 401, South Charleston, WV 25309.

Quick Facts

NPI
1194032227
Type
Individual
Enumerated
Sep 10, 2010
Last Updated
Jan 4, 2022

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