Individual
MRS. GWENDOLYN CHILDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 HIGH ST, SUITE 102, PORTSMOUTH, VA 23704-3103
(757) 393-8585
(757) 393-8027
Mailing address
1701 HIGH ST, SUITE 102, PORTSMOUTH, VA 23704-3103
(757) 393-8585
(757) 393-8027
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001045816
VA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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