Infant Jesus Childrens Clinic Plc
NPI #1659306991 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1659306991
- Entity Type
- Organization
- Organization Name
- Infant Jesus Childrens Clinic Plc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 210 TEMPLE AVE
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-2828
- Phone
- (804) 520-6137
Authorized Official
- Name
- PATRICIA D GONZALES, MD
- Title
- PRESIDENT
- Phone
- (804) 458-1430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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