Pediatric Building Blocks | |
79 Estate Peter's Rest Suite 3.2 Christiansted VI 00820 | |
(340) 473-7225 | |
Not Available |
Full Name | Pediatric Building Blocks |
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Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 79 Estate Peter's Rest, Christiansted, Virgin Island |
Authorized Official Name and Position | Trevena Moore (MEMBER) |
Authorized Official Contact | 6173062065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Building Blocks Po Box 159 Christiansted VI 00821-0159 Ph: (340) 473-7225 | Pediatric Building Blocks 79 Estate Peter's Rest Suite 3.2 Christiansted VI 00820 Ph: (340) 473-7225 |
NPI Number | 1629524327 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 09/12/2016 |
Identifier | Type | State | Issuer |
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1629524327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2351041B (Virgin Island) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 1229 (Virgin Island) | Primary |
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