Organization
COMMONWEALTH CLINIC
Active
Other names
Love of Jesus Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH LYNN PAWLAK PA-C (EXECUTIVE DIRECTOR)
(804) 674-7499
Entity
Organization
Contact information
Practice address
10930 HULL STREET RD, MIDLOTHIAN, VA 23112-3316
(804) 674-7499
(804) 674-7448
Mailing address
10930 HULL STREET RD, MIDLOTHIAN, VA 23112-3316
(804) 674-7499
(804) 674-7448
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/03/2007
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