NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295737666 |   |   |   | THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC. | 375 ALLENS AVE | PROVIDENCE | RI | 029055010 |
1942289475 | BAKER | BETHANY | W |   | 375 ALLENS AVE | PROVIDENCE | RI | 029055010 |