Provider First Line Business Practice Location Address:
1150 VARNUM STREET N.E.
Provider Second Line Business Practice Location Address:
PROVIDENCE HOSPITAL , FOOD & NUTRITION DEPARTMENT
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20017-2180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-269-7154
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2012