| NPI | 1992993976 |
|---|---|
| Doing Business As | PROVIDENCE FOOT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES HOWARD MINTZER President 202-269-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: DC P0402) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-06-18 |