Organization
COMPLETE CARE CENTER FOR WOMEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAC D. DIAZ M.D. (PHYSICIAN)
(804) 320-4967
Entity
Organization
Contact information
Practice address
7107 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 320-4967
(804) 320-7130
Mailing address
7107 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 320-4967
(804) 320-7130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101230549
VA
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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