Individual
GRACE REGINA SOLTYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3602 MONUMENT AVE, RICHMOND, VA 23230-4905
(804) 358-4904
(804) 358-3107
Mailing address
1802 STONECREST CT, RICHMOND, VA 23236-5524
(804) 674-9207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006728952
—
VA
Enumeration date
05/01/2006
Last updated
05/24/2012
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