Individual ProviderSamantha BovinoDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(202) 476-2327PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Bovino does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083480438Provider TypeIndividualFull NameBovino, SamanthaCredentialMPH, RDN, LDNGenderFemaleSole ProprietorNoEnumeration Date11/28/2023Last Updated1/21/2024Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-2327FaxUnlisted FaxMailing LocationMailing Address111 Michigan Ave NW, Washington, DC 20010-2916PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer