Individual
MR. RICHARD ENDERLIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2588 E WOODSTOCK RD, WOODSTOCK, VT 05091-3661
(310) 855-4470
Mailing address
PO BOX 98, TAFTSVILLE, VT 05073-0098
(310) 855-4470
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3939425
VT
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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