Individual
MRS. JOAN NICOLE ENDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
364 GRANITE AVE, MILTON, MA 02186-5025
(617) 698-0260
Mailing address
162 SOUTH ST, HINGHAM, MA 02043-4616
(781) 749-9042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1003
MA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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