JESSICA NORTHUP

PROVIDENCE, RI
NPI1427081702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: RI  LDN00311)
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
-- JESSICA NORTHUP RD
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
Mailing Address
-- JESSICA NORTHUP RD
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
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