Healthcare Provider Details

I. General information

NPI: 1386576924
Provider Name (Legal Business Name): VICTORIA IZABELA SESTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 HARPER RD
BECKLEY WV
25801-3397
US

IV. Provider business mailing address

260 SILVER MAPLE RDG APT 4
CHARLESTON WV
25306-1132
US

V. Phone/Fax

Practice location:
  • Phone: 304-256-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: