| NPI | 1457571754 |
|---|---|
| Doing Business As | INFANT JESUS CHILDRENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA D GONZALES Medical Director 804-530-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101026123) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |