WOODLAKE VILLAGE PEDIATRICS LLC

MIDLOTHIAN, VA
NPI1578681946
Entity TypeOrganization
Authorized ContactJENNIFER DIANE CLARK
Owner
804-639-0717
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: VA  0101056329)
Enumeration Date2007-03-26
Last Update Date2008-05-22
Business Address
WOODLAKE VILLAGE PEDIATRICS LLC
14732 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112-2253
Phone number: 804-639-0717
Mailing Address
WOODLAKE VILLAGE PEDIATRICS LLC
14732 VILLAGE SQUARE PLACE
MIDLOTHIAN, VA 23112-2253
Phone number: 804-639-0717
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