Organization
360GIRLS&WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE-ELLEN N ANDERSON-HAYNES MS,RDN,CDCES, LDN (OWNER & FOUNDER)
(352) 871-3022
Entity
Organization
Contact information
Practice address
45 GRANITE ST, HOPKINTON, MA 01748-2301
(352) 871-3022
Mailing address
PO BOX 792, HOPKINTON, MA 01748-0792
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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