Provider First Line Business Practice Location Address:
WEST 180 DOAN, 410 WEST 10TH AVENUE
Provider Second Line Business Practice Location Address:
THE OSU WEXNER MEDICAL CENTER, NUTRITION SERVICES
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-8654
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2013